EHTERAM RAISSI-FARD, MD

Pediatrics

Active Individual
NPI: 1588650576

Practice Address

758 N SUN DR
Lake Mary, FL 32746

Phone: (407) 333-2809

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes ME78139 (FL)

Frequently Asked Questions

NPI 1588650576 is the National Provider Identifier for EHTERAM RAISSI-FARD, MD, a Pediatrics provider located in Lake Mary, FL. This NPI was enumerated on September 23, 2005.
EHTERAM RAISSI-FARD, MD practices at 758 N SUN DR, Lake Mary, FL 32746.

Quick Facts

NPI
1588650576
Type
Individual
Enumerated
Sep 23, 2005
Last Updated
Jul 8, 2007

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