Individual
DR. MOHAMMADREZA MINOUEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N. CLYDE MORRIS BLVD, SUITE 201, DAYTONA BEACH, FL 32114-2709
(386) 226-4542
(386) 229-2354
Mailing address
303 N. CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-2285
(386) 425-7522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD430780
PA
208M00000X
Hospitalist Physician
Primary
ME103732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101855627
—
PA
Enumeration date
02/27/2007
Last updated
04/20/2021
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