Individual
KOBRA REZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12900 CORTEZ BLVD, BROOKSVILLE, FL 34613-6828
(352) 596-7660
(352) 596-5581
Mailing address
14690 SPRING HILL DR STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11011004
FL
Other
Enumeration date
05/06/2021
Last updated
07/02/2021
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