Individual
MATTHEW MEHRDAD MOSHIRFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2190 GULF GATE DRIVE, SARASOTA, FL 34231
(941) 921-5521
(941) 927-0609
Mailing address
2190 GULF GATE DRIVE, SARASOTA, FL 34231
(941) 921-5521
(941) 927-0609
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO002267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390051700
—
FL
01
—
480015052
MEDICARE RAIL ROAD
FL
Enumeration date
09/13/2006
Last updated
09/07/2010
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