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AHRESH EDJLALI PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1598123945

Individual Registrant:
 AHRESH  EDJLALI PA-C
Gender: M
Sole Proprietor

Location and contact information for practice:
1140 KANE CONCOURSE  BAY HARBOR ISLANDS, FL 33154-2045 US
Tel: 305-861-8266  Fax: --

Contact information for business:
1140 KANE CONCOURSE  BAY HARBOR ISLANDS, FL 33154-2045 US
Tel: --  Fax: --

Registration Information:
NPI: 1598123945
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9108707

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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