HAMIDREZA MOGHADDAM MD PA
Medical Practice at 124 St, Miami, FL

License number
Florida ME91771
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida PO3670
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: HAMIDREZA MOGHADDAM M.D.
Title: OWNER
Phone: (305) 895-9233
Address
Address
527 NE 124Th St, Miami, FL 33161
National Provider ID: 1457300386
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Hamidreza Moghaddam M.D. PA

Miami, FL  -  Golden Isles, FL

Industry:
Medical Doctor's Office
Doing business as:
Hamidreza Moghaddam MD
Registration:
Feb 14, 2006
Addresses:
16919 N Bay Rd, Miami, FL 33160
649 Hibiscus Dr, Golden Isles, FL 33009
527 NE 124 St, Miami, FL 33161
State ID:
P06000022262
Business type:
Domestic for Profit Corporation
President, Treasurer, Director, Secretary, Principal:
Hamidreza Moghaddam (President, Treasurer, Director, Secretary, Principal)
Agent:
Spiegel & Utrera, Pa

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