Individual
MUHAMMAD R MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 SE 3RD AVE STE 721, FORT LAUDERDALE, FL 33316-2521
(954) 831-7263
(954) 712-3970
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 831-2763
(954) 712-3970
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
268720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278103
NYS MEDICAL LICENSE
NY
05
—
3810012858
—
WV
01
—
ME146665
FLORIDA MEDICAL LICENSE
FL
01
—
MZ748
MEDICARE ID
FL
Enumeration date
08/04/2008
Last updated
07/28/2022
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