Healthcare Provider Details

I. General information

NPI: 1265923049
Provider Name (Legal Business Name): MINA SHERAZEE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MINA ARBABARAGHI DMD

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 NW 37TH PL
GAINESVILLE FL
32606-8147
US

IV. Provider business mailing address

435 SW 145TH DR
NEWBERRY FL
32669-3744
US

V. Phone/Fax

Practice location:
  • Phone: 352-373-7361
  • Fax:
Mailing address:
  • Phone: 925-451-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN28760
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number102439
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: