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:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1386749877 | NPPES |
Florida | MEDICAID | 390051700 | |
Florida | Other | 480015052 |
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