Organization
BEHZAD RAZAVI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHZAD RAZAVI MD (OWNER)
(850) 830-9452
Entity
Organization
Contact information
Practice address
870 MACK BAYOU RD, SANTA ROSA BEACH, FL 32459-7150
(850) 830-9452
Mailing address
755 GRAND BLVD, SUITE B105-195, MIRAMAR BEACH, FL 32550-1838
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME113682
FL
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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