Individual
MAHTAB FOROUZANDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
4425 PONCE DE LEON BLVD STE 200, CORAL GABLES, FL 33146-1871
(502) 759-7691
Mailing address
4425 PONCE DE LEON BLVD STE 200, CORAL GABLES, FL 33146-1871
(502) 759-7691
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME169365
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2020
Last updated
07/02/2024
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