Healthcare Provider Details

I. General information

NPI: 1326577925
Provider Name (Legal Business Name): ROZINA PARBTANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S OCEAN DR APT 1105
FORT LAUDERDALE FL
33316-3814
US

IV. Provider business mailing address

8201 W BROWARD BLVD
PLANTATION FL
33324-2701
US

V. Phone/Fax

Practice location:
  • Phone: 305-904-5284
  • Fax:
Mailing address:
  • Phone: 866-884-2904
  • Fax: 800-792-9021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME148401
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: