Healthcare Provider Details

I. General information

NPI: 1508986795
Provider Name (Legal Business Name): OBSTETRICAL & GYNECOLOGICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
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 Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH RAZIANO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-474-2229