Individual
KIANA MAHBOUBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 CELEBRATION PL STE 100, CELEBRATION, FL 34747-5432
(321) 939-3000
Mailing address
410 CELEBRATION PL STE 100, CELEBRATION, FL 34747-5432
(321) 939-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME177320
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2025
Last updated
12/23/2025
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