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Organization
VIERA FAMILY PRACTICE PA
Active
Organization
VIERA FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD MOSTAFAVI M.D. (PHYSICIAN)
(321) 242-7005
Entity
Organization
Contact information
Practice address
8095 SPYGLASS HILL RD, SUITE 105, MELBOURNE, FL 32940-8290
(321) 242-7005
(321) 242-7009
Mailing address
8095 SPYGLASS HILL RD, SUITE 105, MELBOURNE, FL 32940-8290
(321) 242-7005
(321) 242-7009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME85423
FL
Other
Enumeration date
07/08/2006
Last updated
06/21/2018
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