SOUSAN YAZDI BLACK

FORT MYERS, FL
NPI1144632217
Former NameSOUSAN AKHAVAN YAZDI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  ARNP9293083)
Enumeration Date2014-05-23
Last Update Date2014-05-23
Business Address
-- SOUSAN YAZDI BLACK ARNP
8931 COLONIAL CENTER DR SUITE 300
FORT MYERS, FL 33905-7809
Phone number: 239-938-0800
Mailing Address
-- SOUSAN YAZDI BLACK ARNP
4371 VERONICA S SHOEMAKER BLVD ATTN: CREDENTIALING
FORT MYERS, FL 33916-2216
Phone number: 239-274-8200
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