Active NPI
Behzad Razavi, MD, PA
- Infectious Disease Physician
- Santa Rosa Beach, FL
National Provider Identifier
1366854317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME113682
- Legal business name
- BEHZAD RAZAVI, MD, PA
- Practice address
- 870 Mack Bayou Rd
Santa Rosa Beach, FL 32459-7150 - Phone
- (850) 830-9452
- NPI assigned
- May 27, 2014
- Last updated
- May 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Behzad Razavi, MD
- Title
- Owner
- Phone
- (850) 830-9452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME113682 | FL | Primary |
Addresses
Primary practice location
870 Mack Bayou Rd
Santa Rosa Beach, FL 32459-7150
Mailing address
755 Grand Blvd
Suite B105-195
Miramar Beach, FL 32550-1838
National Provider Directory
National Provider DirectoryLocations
755 Grand Blvd
Ste B105195
Miramar Beach, FL 32550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401148800000",
"number": "1366854317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 GRAND BLVD",
"address_2": "SUITE B105-195",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "325501838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 MACK BAYOU RD",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597150",
"telephone_number": "850-830-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHZAD RAZAVI, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A",
"authorized_official_last_name": "RAZAVI",
"authorized_official_first_name": "BEHZAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-830-9452",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME113682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.