Healthcare Provider Details

I. General information

NPI: 1356299689
Provider Name (Legal Business Name): EMIRI NOURISHIRAZI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9425 SW 72ND ST STE 261
MIAMI FL
33173-5457
US

IV. Provider business mailing address

9425 SW 72ND ST STE 261
MIAMI FL
33173-5457
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-7343
  • Fax: 305-271-7949
Mailing address:
  • Phone: 305-271-7343
  • Fax: 305-271-7949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT26956
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: