Individual
MRS. MOZHGAN AHMADI AFSHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(321) 842-2994
Mailing address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(321) 842-2994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11022551
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11022551
FL
Other
Enumeration date
10/27/2022
Last updated
12/30/2022
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