MEDICARE: DR. FIRAZ RICHARD HOSEIN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	056084	GA
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	OS8550	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972505410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FIRAZ RICHARD HOSEIN DO

Provider Business Mailing Address
First Line	:	PO BOX 50588
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33074-0588
Country	:	US
Telephone Number	:	954-782-3170
Fax Number	:	954-782-3171

Provider Business Practice Location Address
First Line	:	2100 E SAMPLE RD STE 203
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-7574
Country	:	US
Telephone Number	:	954-782-3170
Fax Number	:	954-782-3171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	12/27/2024

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