Organization
JAHANBAKHSH NASSERZARE MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHANBAKHSH NASSERZARE M.D. (PRESIDENT)
(305) 940-0064
Entity
Organization
Contact information
Practice address
1380 NE MIAMI GARDENS DR STE 140, NORTH MIAMI BEACH, FL 33179-4744
(305) 940-0064
(305) 940-0066
Mailing address
1380 NE MIAMI GARDENS DR STE 140, NORTH MIAMI BEACH, FL 33179-4744
(305) 940-0064
(305) 940-0066
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME102604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002467900
—
FL
05
—
010587700
—
FL
Enumeration date
06/25/2010
Last updated
03/30/2020
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