Provider Demographics
NPI:1356593149
Name:VAZIR-MARINO, FRANAH
Entity type:Individual
Prefix:
First Name:FRANAH
Middle Name:
Last Name:VAZIR-MARINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANAH
Other - Middle Name:
Other - Last Name:VAZIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:303 S 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-1507
Mailing Address - Country:US
Mailing Address - Phone:954-924-0101
Mailing Address - Fax:
Practice Address - Street 1:303 S 12TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-1507
Practice Address - Country:US
Practice Address - Phone:954-924-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME16443261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care