Provider Demographics
NPI:1447304415
Name:JOSEPH V. RAZIANO, M.D., P.A.
Entity type:Organization
Organization Name:JOSEPH V. RAZIANO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-288-6404
Mailing Address - Street 1:10045 CLEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1063
Mailing Address - Country:US
Mailing Address - Phone:954-474-2229
Mailing Address - Fax:954-452-0356
Practice Address - Street 1:10045 CLEARY BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1063
Practice Address - Country:US
Practice Address - Phone:954-474-2229
Practice Address - Fax:954-452-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0018407207VE0102X
FLME18407207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
Not Answered207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06894Medicare ID - Type Unspecified
FLD82343Medicare UPIN