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Individual

NOUSHIN YAZDANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2595 TAMPA RD STE J, PALM HARBOR, FL 34684-3131
(727) 221-5321
Mailing address
2595 TAMPA RD STE J, PALM HARBOR, FL 34684-3131
(727) 221-5321

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS15528
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101890800
FL
Enumeration date
06/18/2015
Last updated
04/29/2026
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