Mashkouri, Morteza
Mashkouri, Morteza is an individual health care provider with primary practice located at 255 N Lakemont Ave Suite 101, Winter Park FL 32792-3229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mashkouri, Morteza can be contacted via phone (407) 647-6070.Contact Information
Primary practice address
255 N Lakemont Ave Suite 101
Winter Park FL 32792-3229
Phone: (407) 647-6070
Fax: (407) 647-6440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME48026 | Florida |
Profile Details
| NPI number | 1023094489 |
|---|---|
| LBN Legal business name | Mashkouri, Morteza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Dec 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023094489 | NPPES |
| Florida | MEDICAID | 265072000 |
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