Individual
DR. OBTEENE AZIMI-GHOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21097 NE 27TH CT, AVENTURA, FL 33180-1204
(305) 914-3480
(305) 915-3481
Mailing address
21097 NE 27TH CT, AVENTURA, FL 33180-1204
(305) 914-3480
(305) 914-3480
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME160934
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A66-09-1342
DRIVER LICESE
VA
Enumeration date
04/02/2018
Last updated
06/14/2024
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