Moezi, Mehdi M

Moezi, Mehdi M is an individual health care provider with primary practice located at 2370 Market Dr , Fleming Island FL 32003-4326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Moezi, Mehdi M can be contacted via phone (094) 264-6201.

Contact Information

Primary practice address
2370 Market Dr Fleming Island FL 32003-4326
Phone: (094) 264-6201
Fax: (904) 264-6858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME80061 Florida

Profile Details

NPI number 1053316190
LBN Legal business name Moezi, Mehdi M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 17th, 2014 - about 11 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 1053316190 NPPES
Georgia MEDICAID 003107612B
Georgia MEDICAID 260425600
Georgia Other 51687
Georgia Other 7767303
Georgia Other 281224

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