Healthcare Provider Details

I. General information

NPI: 1346089232
Provider Name (Legal Business Name): SARAH MIRZAIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAHAR ALIMIRZAIE

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date: 01/13/2025
Reactivation Date: 10/22/2025

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3609
US

IV. Provider business mailing address

55 NE 5TH ST UNIT 1721
MIAMI FL
33132-1993
US

V. Phone/Fax

Practice location:
  • Phone: 954-659-5000
  • Fax:
Mailing address:
  • Phone: 310-980-1488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number44557
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: