Basic Information
Provider Information
NPI: 1679912026
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKEF
FirstName: ANAHITA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: BA
OtherOrganizationName:  
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Mailing Information
Address1: 38 MESSENGER CRK
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782382416
CountryCode: US
TelephoneNumber: 8182617611
FaxNumber:  
Practice Location
Address1: 4301 N FEDERAL HWY
Address2: SUITE 2 SOUTH
City: POMPANO BEACH
State: FL
PostalCode: 330646519
CountryCode: US
TelephoneNumber: 1800465320
FaxNumber: 9543420273
Other Information
ProviderEnumerationDate: 06/19/2013
LastUpdateDate: 10/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
222Q00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist 

No ID Information.


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