F DEAN FAGHIH MD PA
Osteopathic Medicine at Waters Ave, Tampa, FL

License number
Florida ME58145
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: F DEAN FAGHIH MD
Title: PRESIDENT
Phone: (813) 932-6106
Address
Address
3401 W Waters Ave, Tampa, FL 33614
National Provider ID: 1205097540
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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F. DEAN FAGHIH, M.D., PA

3401 W Waters Ave, Tampa, FL 33614

Doing business as:
F Dean Faghih MD Pa
Registration:
Dec 30, 1993
Phone:
(813) 932-6106 (Phone)
State ID:
P94000001652
Business type:
Florida Profit Corporation
President, Treasurer, Director:
F. Dean Faghih (President, Treasurer, Director), 3401 W Waters Ave, Tampa, FL 33614 (Physical)
Agent:
Sandip Patel,6800 N Dl Mabry, Tampa, FL 33614 (Physical)
EIN:
59-3217651

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