Individual
MRS. MANDANA ALBORZFARD DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
555 W STATE ROAD 434, MP SS ADMIN, LONGWOOD, FL 32750-5119
(321) 842-2994
(407) 767-5801
Mailing address
380 RINEHART RD, LAKE MARY, FL 32746-2551
(321) 842-0266
(321) 842-1852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9238785
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9238785
FL
363LF0000X
Family Nurse Practitioner
APRN9238785
FL
363LW0102X
Women's Health Nurse Practitioner
APRN9238785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002556100
—
FL
01
—
ARNP9238785
MEDICAL LICENSE
FL
Enumeration date
06/17/2010
Last updated
12/09/2025
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