Doctor Name: | TABREZ Z NOORANI |
NPI Number: | 1275780520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA9105971 |
Business Practice Address: | 4320 Bell Shoals Rd Valrico, FL - 335967171 |
Business Phone Number: | 8135711111 |
Business Fax Number: | 8135711120 |
Mailing Address: | 4320 Bell Shoals Rd, VALRICO |
State: | FL |
Postal Code: | 335967171 |
Phone Number: | 8135711111 |
Fax Number: | 8135711120 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9105971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |