Individual ProviderNizam RazackNeurological SurgeryAllopathic & Osteopathic PhysiciansPractice Address32 W Gore St, Suite #511, Orlando, FL 32806-1134(407) 423-7172PECOS EnrollmentBased on the most recent information from CMS, provider Nizam Razack is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1447237045Provider TypeIndividualFull NameRazack, NizamTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/27/2005Last Updated7/18/2018Contact InformationPractice LocationPractice Address32 W Gore St, Suite #511, Orlando, FL 32806-1134Phone(407) 423-7172Fax(407) 423-9505Mailing LocationMailing Address7460 Docs Grove Cir, Orlando, FL 32819-8010Phone(407) 423-7172Fax(407) 423-9505Provider TaxonomiesCodeDescriptionLicenseCode207T00000XPrimaryDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicenseME70470FloridaProvider IdentifiersIDDescriptionIssuerID254681700DescriptionMedicaidIssuerUnlistedFlorida