Individual
DR. AHMAD MUSTAFA AMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8725 N WICKHAM RD STE 203, MELBOURNE, FL 32940-2240
(321) 434-9535
(321) 434-9538
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9235
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME150014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111326800
—
FL
01
—
N5720
HFMG MA
FL
Enumeration date
05/04/2011
Last updated
11/10/2023
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