Individual
DR. SAMIRA RASSAPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP,
Contact information
Practice address
1151 NORTH BLACKWOOD AVE #110, OCOEE, FL 34761
(407) 253-1450
(407) 253-1470
Mailing address
1151 NORTH BLACKWOOD AVE #110, OCOEE, FL 34761
(407) 253-1450
(407) 253-1470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AP1579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0993
BCBS
FL
Enumeration date
05/01/2007
Last updated
07/08/2007
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