Individual
MAZYAR ROUHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 WESTON ROAD, DEPARTMENT OF EMERGENCY MEDICINE, WEASTON, FL 33331
(954) 689-5142
Mailing address
3100 WESTON ROAD, DEPARTMENT OF EMERGENCY MEDICINE, WEASTON, FL 33331
(954) 689-5142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME83806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10028
BCBS
FL
05
—
263579800
—
FL
Enumeration date
01/11/2006
Last updated
06/30/2009
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