Individual
DR. NIZAM RAZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 W GORE ST, SUITE #511, ORLANDO, FL 32806-1134
(407) 423-7172
(407) 423-9505
Mailing address
7460 DOCS GROVE CIR, ORLANDO, FL 32819-8010
(407) 423-7172
(407) 423-9505
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME70470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254681700
—
FL
Enumeration date
12/27/2005
Last updated
07/18/2018
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