Individual
BEHNAZ MODARESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5360 ROCKING HORSE PL, OVIEDO, FL 32765-6128
(407) 985-6775
Mailing address
5360 ROCKING HORSE PL, OVIEDO, FL 32765-6128
(407) 985-6775
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN9522827
FL
363L00000X
Nurse Practitioner
Primary
APRN11045780
FL
Other
Enumeration date
03/02/2021
Last updated
03/10/2026
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