# MAHBOOBEH GOLTAPEH , M.D., PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1245538503
- **Authorized official:** DR. MAHBOOBEH GOLTAPEH M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** 30585498768

## Contact information

- **Practice address:** 3661 S MIAMI AVE, 904, MIAMI, FL 33133-4236
- **Practice address phone:** (305) 854-9878
- **Mailing address:** 3661 S MIAMI AVE, 904, MIAMI, FL 33133-4236
- **Mailing address phone:** (305) 854-9878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME 50341 | FL | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011