NPI 1073546701

Viera Family Practice PA

Organisation Family Medicine Physician Melbourne, FL

Practice location

Address: 8095 Spyglass Hill Rd Suite 105, Melbourne, FL 32940-8290
Phone: (321) 242-7005
Fax: (321) 242-7009

Authorised official

Name: Mahmoud Mostafavi
Title: Physician
Phone: (321) 242-7005

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME85423 (FL)

Other Family Medicine providers in Florida →

Registry record

NPI: 1073546701
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 21 Jun 2018

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.