Dixon, Mandana Alborzfard

Dixon, Mandana Alborzfard is an individual health care provider with primary practice located at 555 W State Road 434 Mp Ss Admin, Longwood FL 32750-5119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dixon, Mandana Alborzfard can be contacted via phone (321) 842-2994.

Contact Information

Primary practice address
555 W State Road 434 Mp Ss Admin Longwood FL 32750-5119
Phone: (321) 842-2994
Fax: (407) 767-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9238785 Florida

Profile Details

NPI number 1932420544
LBN Legal business name Dixon, Mandana Alborzfard
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Jun 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932420544 NPPES
Florida Other ARNP9238785 MEDICAL LICENSE
Florida MEDICAID 002556100 MEDICAL LICENSE

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