Individual
DR. FARAZ YOUSEFIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4301 BROADWAY # 121, SAN ANTONIO, TX 78209-6318
(310) 359-2912
Mailing address
401 SE 3RD AVE APT E, HALLANDALE BEACH, FL 33009-6467
(310) 359-2912
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19204
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2021
Last updated
11/06/2022
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