NPI 1003011735

Bahareh Ebadifar Keith, DO

Practitioner Pediatrics Physician Gainesville, FL

Practice location

Address: 1600 SW Archer Rd, Gainesville, FL 32610-3003
Phone: (352) 273-0462
Fax: (352) 273-6250
Mailing address: PO Box 918025, Orlando, FL 32891-8025

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence OS10957 (FL)

Other Pediatrics providers in Florida →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence UO1652 (FL)

Registry record

NPI: 1003011735
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2007
Record last updated: 24 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.