| NPI | 1457300386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMIDREZA MOGHADDAM Owner 305-895-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME91771) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3670) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-02-02 |