Provider Demographics
NPI:1427202738
Name:VIRANI, NAILA M (OD)
Entity Type:Individual
Prefix:
First Name:NAILA
Middle Name:M
Last Name:VIRANI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 N ALAFAYA TRL # G05
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7049
Mailing Address - Country:US
Mailing Address - Phone:407-382-2648
Mailing Address - Fax:
Practice Address - Street 1:891 N ALAFAYA TRL # G05
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7049
Practice Address - Country:US
Practice Address - Phone:407-382-2648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7311T152W00000X
FL0PC4492152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist