Provider Demographics
NPI:1518561091
Name:PARSAEIAN, SEYED HASSAN
Entity Type:Individual
Prefix:
First Name:SEYED
Middle Name:HASSAN
Last Name:PARSAEIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27727 STATE ROAD 56
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-8833
Mailing Address - Country:US
Mailing Address - Phone:813-929-7095
Mailing Address - Fax:813-929-7016
Practice Address - Street 1:27727 STATE ROAD 56
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-8833
Practice Address - Country:US
Practice Address - Phone:813-929-7095
Practice Address - Fax:813-929-7016
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist