Individual
DR. MAHSA HOSSEINI-MODARRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
9 N VALENCIA DR, DAVIE, FL 33324-5410
(954) 560-6983
Mailing address
9 N VALENCIA DR, DAVIE, FL 33324-5410
(954) 560-6983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4747
FL
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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