Individual
DR. KOUROSH NAZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N STONE ST, DELAND, FL 32720-3255
(386) 734-4431
(386) 738-1045
Mailing address
801 N STONE ST, DELAND, FL 32720-3255
(386) 734-4431
(386) 738-1045
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME80448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265118100
—
FL
Enumeration date
10/31/2005
Last updated
03/07/2023
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