Individual
ASHKAHN ZOMORRODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10000 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2111
(772) 345-8100
Mailing address
11931 S INDIAN RIVER DR, JENSEN BEACH, FL 34957-2205
(818) 564-5640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17880
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
06/24/2021
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