Provider Demographics
NPI:1720873094
Name:NOOR, RAKHSHI
Entity type:Individual
Prefix:
First Name:RAKHSHI
Middle Name:
Last Name:NOOR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9066 OVERLOOK PASS DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-9537
Mailing Address - Country:US
Mailing Address - Phone:407-257-1110
Mailing Address - Fax:
Practice Address - Street 1:9066 OVERLOOK PASS DR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-9537
Practice Address - Country:US
Practice Address - Phone:407-257-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily