Provider Demographics
NPI:1457646069
Name:BARAZI, KANAR
Entity Type:Individual
Prefix:
First Name:KANAR
Middle Name:
Last Name:BARAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 WESTVIEW DR
Mailing Address - Street 2:2265
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2514
Mailing Address - Country:US
Mailing Address - Phone:954-282-5001
Mailing Address - Fax:
Practice Address - Street 1:9600 WESTVIEW DR
Practice Address - Street 2:2265
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-2514
Practice Address - Country:US
Practice Address - Phone:954-282-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist