Healthcare Provider Details

I. General information

NPI: 1316923519
Provider Name (Legal Business Name): MESFIN AFEWORK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 JOHNSON ST
HOLLYWOOD FL
33021-5421
US

IV. Provider business mailing address

PO BOX 17540
PLANTATION FL
33318-7540
US

V. Phone/Fax

Practice location:
  • Phone: 954-987-2020
  • Fax:
Mailing address:
  • Phone: 800-437-2672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME47151
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME47151
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: