Individual
JOSEPH DARAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 STATE ROAD 60 E, LAKE WALES, FL 33853-4309
(863) 676-2020
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6368
FL
Other
Enumeration date
05/30/2023
Last updated
10/12/2023
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