Individual
FAWWAZ JAFFER MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8285 W SUNRISE BLVD, PLANTATION, FL 33322-5403
(954) 730-5030
(954) 289-6502
Mailing address
PO BOX 978766, DALLAS, TX 75397-8766
(954) 730-5030
(954) 289-6502
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125-049640
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME108788
FL
Other
Enumeration date
08/04/2008
Last updated
09/05/2024
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