Masoud K. Farzaneh in Mulberry - General Practice

Masoud K. Farzaneh - NPI 1669544540

Masoud K. Farzaneh is a General Practice in Mulberry, Florida. Masoud K. Farzaneh practices all healthcare services and medical treatments related to General Practice. The NPI Number for Masoud K. Farzaneh is 1669544540. The last update date is 2014-01-14.

Masoud K. Farzaneh's current location address is 105 N Church Ave, Mulberry, Florida. You can contact this provider via phone number 8638698888 and fax number 8638698880. The mailing address for Masoud K. Farzaneh is 105 N Church Ave, Mulberry, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Masoud K. Farzaneh
Address 105 N Church Ave, Mulberry, Florida
Phone Number 8638698888
Fax Number 8638698880
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1669544540
Provider Enumeration Date 2006-11-15
Last Updated Date 2014-01-14

Provider Mailing Address Detail

Address 105 N Church Ave
City Mulberry
State Florida (FL)
Post Code 338602413
Phone Number 8638698888
Fax Number 8638698880

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN 13817
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
71188800 FL --
DN 13817 FL LICENSE #

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FAQs about Masoud K. Farzaneh

What is the unique 10-digit identification code assigned to Masoud K. Farzaneh by the Centers for Medicare & Medicaid Services?

The Masoud K. Farzaneh has been issued the NPI (National Provider Identifier) 1669544540, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Masoud K. Farzaneh's facilities are geographically located?

The facilities of Masoud K. Farzaneh are physically situated at the following location: 105 N Church Ave, Mulberry, FL, 338602413.

What is Masoud K. Farzaneh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Masoud K. Farzaneh is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did Masoud K. Farzaneh receive its 1669544540 assignment from the Centers for Medicare & Medicaid Services?

The Masoud K. Farzaneh was assigned its 1669544540 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Masoud K. Farzaneh most recently updated or revised?

The information pertaining to Masoud K. Farzaneh, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-14.

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