| Viera Family Practice Pa | |
|
8095 Spyglass Hill Rd Suite 105 Melbourne FL 32940-8290 | |
| (321) 242-7005 | |
| (321) 242-7009 |
| Full Name | Viera Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8095 Spyglass Hill Rd, Melbourne, Florida |
| Authorized Official Name and Position | Mahmoud Mostafavi (PHYSICIAN) |
| Authorized Official Contact | 3212427005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viera Family Practice Pa 8095 Spyglass Hill Rd Suite 105 Melbourne FL 32940-8290 Ph: (321) 242-7005 | Viera Family Practice Pa 8095 Spyglass Hill Rd Suite 105 Melbourne FL 32940-8290 Ph: (321) 242-7005 |
| NPI Number | 1073546701 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073546701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME85423 (Florida) | Primary |
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