Individual
AFSHIN FOROUZANNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE STE 182, ORLANDO, FL 32804-4675
(407) 303-5857
(407) 303-4782
Mailing address
2501 N ORANGE AVE STE 182, ORLANDO, FL 32804-4675
(407) 303-5857
(407) 303-4782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A83880
CA
2085R0001X
Radiation Oncology Physician
A83880
CA
2085R0001X
Radiation Oncology Physician
Primary
ME123173
FL
2085R0203X
Therapeutic Radiology Physician
A83880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A838800
—
CA
Enumeration date
12/01/2005
Last updated
07/14/2015
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