NPI 1013265719

Dr. Moghadasi & Associates, PA

Organisation Preferred Provider Organization Lakeland, FL

Practice location

Address: 5608 US Highway 98 N, Lakeland, FL 33809-3105
Phone: (863) 858-7600
Fax: (863) 859-0408

Authorised official

Name: Farid Moghadasi
Title: Owner
Phone: (863) 858-7600

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DN13330 (FL)

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Registry record

NPI: 1013265719
Entity type: Organization
NPI issued: 28 Aug 2012
Record last updated: 19 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.