Organization
MATHEW MEHRDAD MOSHIRFAR DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW MEHRDAD MOSHIRFAR DPM (OWNER)
(941) 921-5521
Entity
Organization
Contact information
Practice address
2190 GULF GATE DR, SARASOTA, FL 34231-4813
(941) 921-5521
(941) 927-0609
Mailing address
2190 GULF GATE DR, SARASOTA, FL 34231-4813
(941) 921-5521
(941) 927-0609
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2267
FL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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