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Individual

NAZISH MASOODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 W COCOA BEACH CSWY, CCH/HOSPITALIST PROGRAM, COCOA BEACH, FL 32931-3585
(321) 868-5871
(321) 868-5852
Mailing address
PO BOX 561600, ROCKLEDGE, FL 32956-1600
(321) 434-4600
(321) 259-0635

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME95536
FL
208M00000X
Hospitalist Physician
Primary
ME95536
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275599800
FL
01
ME95536
MD LICENSE
FL
Enumeration date
06/13/2006
Last updated
05/17/2012
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