Healthcare Provider Details

I. General information

NPI: 1851204598
Provider Name (Legal Business Name): EMET MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 S OLIVE AVE
WEST PALM BEACH FL
33401-5618
US

IV. Provider business mailing address

1210 W 13TH ST
RIVIERA BEACH FL
33404-6639
US

V. Phone/Fax

Practice location:
  • Phone: 561-400-9371
  • Fax:
Mailing address:
  • Phone: 561-400-9371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SASSON MOULAVI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 561-445-4489