Individual
MITRA MOSSADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E DIXIE AVE STE 401, LEESBURG, FL 34748-5997
(352) 787-1535
Mailing address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(321) 841-9863
(321) 843-2068
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME161007
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130981700
—
FL
Enumeration date
05/16/2019
Last updated
04/27/2026
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