Individual provider · Type 1 NPI

Elaine West Hajisafari

Medical Physician Assistant · Miami, FL

NPI number 1093005233 Active

Practice location

1475 NW 12th Ave
Miami, FL 33136-1002

Mailing address

1611 NW 12th Ave, PO Box 016960 (M851)
Miami, FL 33136-1005

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 9105870 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1093005233

Elaine West Hajisafari's National Provider Identifier is 1093005233, issued on Apr 8, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Miami, FL. The record was last updated on Mar 21, 2014.