Provider Demographics
NPI:1740551225
Name:HAJIABADI, NAVA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAVA
Middle Name:
Last Name:HAJIABADI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 WAYMONT CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3586
Mailing Address - Country:US
Mailing Address - Phone:407-322-2440
Mailing Address - Fax:
Practice Address - Street 1:405 WAYMONT CT
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3586
Practice Address - Country:US
Practice Address - Phone:407-322-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-16
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist