Organization
WHITE SANDS MEDICAL GROUP
Active
Other names
Plastic Surgery Institute & Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID BRAD MOZAFFARI MD (PRESIDENT)
(850) 647-8825
Entity
Organization
Contact information
Practice address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 647-8825
(850) 248-8825
Mailing address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 647-8825
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
01/31/2025
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