MEDICARE: DR. NAVA HAJIABADI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS42112	FL

General Provider Information

NPI Number	:	1740551225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAVA HAJIABADI PHARMD

Provider Business Mailing Address
First Line	:	405 WAYMONT CT
Second Line	:	SUITE 101
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3586
Country	:	US
Telephone Number	:	407-322-2440
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 WAYMONT CT
Second Line	:	SUITE 101
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3586
Country	:	US
Telephone Number	:	407-322-2440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2012
Last Update Date	:	07/20/2012

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