Individual
DR. SHAHIDA P MOIZUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13505 US HIGHWAY 1, SEBASTIAN, FL 32958-3759
(772) 257-8224
(772) 252-3245
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 252-3245
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME49096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME49096
FL LICENSE
FL
Enumeration date
08/26/2008
Last updated
02/24/2025
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