# NAZARI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811372972
- **Authorized official:** DR. KOUROSH NAZARI M.D. (PRESIDENT)
- **Authorized official phone:** (407) 470-9798

## Contact information

- **Practice address:** 105 BONNIE LOCH CT, SUITE A, ORLANDO, FL 32806-2909
- **Practice address phone:** (407) 245-3636
- **Practice address fax:** (407) 245-3667
- **Mailing address:** 105 BONNIE LOCH CT, SUITE A, ORLANDO, FL 32806-2909
- **Mailing address phone:** (407) 245-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 07/29/2015