# MOSTAFAVI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033238449
- **Authorized official:** ARMAGHAN A MOSTAFAVI MD (OWNER)
- **Authorized official phone:** (561) 424-5004

## Contact information

- **Practice address:** 1880 N CONGRESS AVE, SUITE 301, BOYNTON BEACH, FL 33426-8671
- **Practice address phone:** (561) 424-5004
- **Practice address fax:** (561) 424-2689
- **Mailing address:** 1880 N CONGRESS AVE, SUITE\# 301, BOYNTON BEACH, FL 33426
- **Mailing address phone:** (561) 424-5004
- **Mailing address fax:** (561) 424-2689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 10/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 255005900 | — | FL |