Individual
DR. MOIZ MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 N 35TH AVE STE 555, HOLLYWOOD, FL 33021-5431
(954) 265-0072
(954) 981-0188
Mailing address
2900 CORPORATE WAY # D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME128595
FL
2086S0120X
Pediatric Surgery Physician
Primary
ME128595
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018196800
—
FL
Enumeration date
03/30/2007
Last updated
05/04/2026
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