Massoomi, Mohammad (Michael) Reza

Massoomi, Mohammad (Michael) Reza is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd Box 100277, Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Massoomi, Mohammad (Michael) Reza can be contacted via phone (352) 273-9089.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100277 Gainesville FL 32610-3003
Phone: (352) 273-9089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME128196 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME128196 Florida

Profile Details

NPI number 1538393715
LBN Legal business name Massoomi, Mohammad (Michael) Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2009
Last updated Mar 7th, 2017 - about 7 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 1538393715 NPPES
Florida MEDICAID 017906300

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