Individual
SOFIA T MAHKAMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYCICIAN ASSISTANT
Contact information
Practice address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
Mailing address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9116997
FL
Other
Enumeration date
01/05/2023
Last updated
05/05/2025
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