Individual
SEYED-MOJTABA GASHTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1447 MEDICAL PARK BLVD STE 405, WELLINGTON, FL 33414-3183
(561) 767-8342
Mailing address
21966 CANADENSIS CIR, BOCA RATON, FL 33428-3911
(410) 409-4562
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
239940
NY
208600000X
Surgery Physician
25MB06746000
NJ
208600000X
Surgery Physician
OS14009
FL
2086S0129X
Vascular Surgery Physician
Primary
H0062393
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020127500
—
FL
05
—
7978103
—
NJ
Enumeration date
08/09/2005
Last updated
11/03/2024
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