Provider Demographics
NPI:1164759940
Name:MD ASSOCIATES OF CENTRAL FLORIDA, P.A.
Entity Type:Organization
Organization Name:MD ASSOCIATES OF CENTRAL FLORIDA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIBORZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DELBAKHSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-217-2688
Mailing Address - Street 1:PO BOX 895532
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34789-5532
Mailing Address - Country:US
Mailing Address - Phone:352-787-1991
Mailing Address - Fax:352-728-3347
Practice Address - Street 1:297 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:FRUITLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:34731-6750
Practice Address - Country:US
Practice Address - Phone:352-787-1991
Practice Address - Fax:352-728-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty