Provider Demographics
NPI:1245434588
Name:AKHTAR, ASFA S (DO)
Entity type:Individual
Prefix:
First Name:ASFA
Middle Name:S
Last Name:AKHTAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:17170 ROYAL PALM BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326
Mailing Address - Country:US
Mailing Address - Phone:305-623-5595
Mailing Address - Fax:954-659-6039
Practice Address - Street 1:17170 ROYAL PALM BOULEVARD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326
Practice Address - Country:US
Practice Address - Phone:305-623-5595
Practice Address - Fax:954-659-6039
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2024-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8612207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS8612OtherMEDICAL LICENSE