Individual
FIROUZEH JAZAYERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2409 SW ARCHER RD, GAINESVILLE, FL 32608-1305
(352) 265-6890
(352) 265-6891
Mailing address
2800 NW 136TH TER, GAINESVILLE, FL 32606-4753
(647) 893-3618
(352) 265-6891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11488
—
FL
Enumeration date
10/25/2022
Last updated
10/25/2022
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