Individual
SHAHRBANOO F NOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1223 GATEWAY DR STE B, MELBOURNE, FL 32901
(321) 725-4500
(321) 676-9731
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME129685
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012953600
—
FL
Enumeration date
10/07/2008
Last updated
10/31/2018
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