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Organization

MOSTAFAVI MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARMAGHAN A MOSTAFAVI MD (OWNER)
(561) 424-5004
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255005900
FL
Enumeration date
03/28/2007
Last updated
10/02/2012
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