Organization
NECMO PA
Active
Organization
NECMO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN NIK MORADI MD (CEO)
(202) 713-5818
Entity
Organization
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1331
Mailing address
19710 WILD WATER CV, LUTZ, FL 33559-7387
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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