Organization
NAZARI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH NAZARI M.D. (PRESIDENT)
(407) 470-9798
Entity
Organization
Contact information
Practice address
105 BONNIE LOCH CT, SUITE A, ORLANDO, FL 32806-2909
(407) 245-3636
(407) 245-3667
Mailing address
105 BONNIE LOCH CT, SUITE A, ORLANDO, FL 32806-2909
(407) 245-3636
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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