Individual
MOJDEH SHEILA KAPPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
(772) 219-4026
(772) 283-4919
Mailing address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
160994
FL
208600000X
Surgery Physician
298783
NY
Other
Enumeration date
05/08/2013
Last updated
09/06/2023
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