Healthcare Provider Details

I. General information

NPI: 1447304415
Provider Name (Legal Business Name): JOSEPH V. RAZIANO, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10045 CLEARY BLVD
PLANTATION FL
33324-1063
US

IV. Provider business mailing address

10045 CLEARY BLVD
PLANTATION FL
33324-1063
US

V. Phone/Fax

Practice location:
  • Phone: 954-474-2229
  • Fax: 954-452-0356
Mailing address:
  • Phone: 954-474-2229
  • Fax: 954-452-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberME0018407
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME18407
License Number StateFL

VIII. Authorized Official

Name: CAROL RAZIANO
Title or Position: INSURANCE ADMINISTRATOR
Credential:
Phone: 954-288-6404