Individual
HOUYAR MOGHADDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 KINGSLEY AVENUE, ORANGE PARK, FL 32073
(904) 639-8500
Mailing address
2001 KINGSLEY AVENUE, ORANGE PARK, FL 32073
(904) 639-8500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME183331
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2024
Last updated
07/20/2026
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