| Island Dream Devlopment LLC | |
|
10339 N Scottsdale Rd Scottsdale AZ 85253-1426 | |
| (515) 338-0095 | |
| Not Available |
| Full Name | Island Dream Devlopment LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10339 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Farhoud Khosravi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5153380095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Dream Devlopment LLC 15160 N Hayden Rd Scottsdale AZ 85260-2587 | Island Dream Devlopment LLC 10339 N Scottsdale Rd Scottsdale AZ 85253-1426 Ph: (515) 338-0095 |
| NPI Number | 1922767607 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922767607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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