Individual
YARA MOUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0085581
MD
2084P0800X
Psychiatry Physician
MD046409
DC
2084P0800X
Psychiatry Physician
Primary
ME138571
FL
Other
Enumeration date
11/05/2015
Last updated
02/05/2024
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