Provider Demographics
NPI:1760603815
Name:BARAZI, MUHAMAD (M,D, A,P)
Entity Type:Individual
Prefix:DR
First Name:MUHAMAD
Middle Name:
Last Name:BARAZI
Suffix:
Gender:M
Credentials:M,D, A,P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 ROYAL PALM SQUARE BLVD
Mailing Address - Street 2:4
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-1027
Mailing Address - Country:US
Mailing Address - Phone:239-939-4299
Mailing Address - Fax:
Practice Address - Street 1:1361 ROYAL PALM SQUARE BLVD
Practice Address - Street 2:4
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-1027
Practice Address - Country:US
Practice Address - Phone:239-939-4299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA,P 2054171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist