Doctor Name: | SIMA ALAVI |
NPI Number: | 1922428911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ARNP9211572 |
Business Practice Address: | 505 S Federal Hwy Deerfield Bch, FL - 334414109 |
Business Phone Number: | 8664216242 |
Business Fax Number: | |
Mailing Address: | 505 S Federal Hwy, DEERFIELD BCH |
State: | FL |
Postal Code: | 334414109 |
Phone Number: | 8664216242 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2014 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | ARNP9211572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |