Healthcare Provider Details

I. General information

NPI: 1356593149
Provider Name (Legal Business Name): FRANAH VAZIR-MARINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FRANAH VAZIR M.D.

II. Dates (important events)

Enumeration Date: 10/13/2008
Last Update Date: 10/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S 12TH AVE
HOLLYWOOD FL
33019-1507
US

IV. Provider business mailing address

303 S 12TH AVE
HOLLYWOOD FL
33019-1507
US

V. Phone/Fax

Practice location:
  • Phone: 954-924-0101
  • Fax:
Mailing address:
  • Phone: 954-924-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberME16443
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: