Individual
DR. AMIR HOMAYOUN FAZELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
885 SEDALIA ST STE 100, OCOEE, FL 34761-3164
(407) 294-2994
(407) 294-2882
Mailing address
885 SEDALIA ST STE 100, OCOEE, FL 34761-3164
(407) 294-2994
(407) 294-2882
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 127825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024053100
—
FL
Enumeration date
10/18/2011
Last updated
01/13/2021
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