IndividualActive
Shahab Nouri, PA-C
NPI 1992517916 · Physician Assistant · Lecanto, FL
Shahab Nouri, PA-C is a Physician Assistant provider in Lecanto, FL (NPI 1992517916).
Provider details
- NPI number
- 1992517916
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA9121103 (FL)
Practice location
525 N Dacie PT
Lecanto, FL 34461-8399
Phone: (813) 321-1786
Fax: (813) 321-1787
Street-level locationGet directions
Mailing address
18228 N US Highway 41
Lutz, FL 33549-4400
Registry dates
- Enumerated
- 2025-01-25
- Last updated
- 2026-05-02
- Certified
- 2026-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.