Organization
MAHBOOBEH GOLTAPEH , M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHBOOBEH GOLTAPEH M.D. (MEDICAL DIRECTOR)
30585498768
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE, 904, MIAMI, FL 33133-4236
(305) 854-9878
Mailing address
3661 S MIAMI AVE, 904, MIAMI, FL 33133-4236
(305) 854-9878
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME 50341
FL
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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