Provider Demographics
NPI:1134267289
Name:HAJISAFARI, AMIR (DC)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:HAJISAFARI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 NE 184TH ST
Mailing Address - Street 2:APT 7203
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4984
Mailing Address - Country:US
Mailing Address - Phone:305-803-2225
Mailing Address - Fax:
Practice Address - Street 1:199 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3100
Practice Address - Country:US
Practice Address - Phone:954-584-9343
Practice Address - Fax:954-584-1544
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8215111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor