Moshirfar, Matthew Mehrdad

Moshirfar, Matthew Mehrdad is an individual health care provider with primary practice located at 2190 Gulf Gate Drive , Sarasota FL 34231. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Moshirfar, Matthew Mehrdad can be contacted via phone (941) 921-5521.

Contact Information

Primary practice address
2190 Gulf Gate Drive Sarasota FL 34231
Phone: (941) 921-5521
Fax: (941) 927-0609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO002267 Florida

Profile Details

NPI number 1386749877
LBN Legal business name Moshirfar, Matthew Mehrdad
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 7th, 2010 - about 14 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 1386749877 NPPES
Florida MEDICAID 390051700
Florida Other 480015052

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