Provider Demographics
NPI:1740600717
Name:NAZARIAN ROSTAMI, ROOZBEH (MD)
Entity Type:Individual
Prefix:
First Name:ROOZBEH
Middle Name:
Last Name:NAZARIAN ROSTAMI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:777 GLADES RD., BC 71, FLORIDA ATLANTIC UNIVERSITY
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY PROGRAM COLLEGE OF MEDICINE
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-955-5365
Mailing Address - Fax:561-955-3577
Practice Address - Street 1:800 MEADOWS ROAD
Practice Address - Street 2:BOCA RATON REGIONAL HOSPITAL
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-955-5365
Practice Address - Fax:561-955-3577
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME132992207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine