Individual
DR. SYED MORTEZA AMOUZEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10522 CEDAR FOREST CIR, CLERMONT, FL 34711-6151
(863) 701-4172
Mailing address
10522 CEDAR FOREST CIR, CLERMONT, FL 34711-6151
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340616400
—
FL
01
—
P00276110
RAILROAD MEDICARE
FL
Enumeration date
11/08/2006
Last updated
12/29/2010
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