MEDICARE: SEYED MORTEZA MOUSAVI HASSANZADEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	TRN45085	FL

General Provider Information

NPI Number	:	1487440392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEYED MORTEZA MOUSAVI HASSANZADEH

Provider Business Mailing Address
First Line	:	5475 E SUNRISE RIDGE PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-7066
Country	:	US
Telephone Number	:	781-921-4929
Fax Number	:

Provider Business Practice Location Address
First Line	:	264 E ROLLINS ST
Second Line	:	6TH FLOOR
City	:	ORLANDO
State	:	FL
Zip	:	32808-5519
Country	:	US
Telephone Number	:	407-303-6729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	06/16/2026

Similar Medicare Providers

1952237844 — AISHA ABDOOL
Practice Location Address:

264 EAST ROLLINS STREET, 6TH FLOOR
ORLANDO, FL
32808-5519

Practice Phone: 407-303-6729
Practice Fax:

1205769288 — ALEC LIEDERBACH DO
Practice Location Address:

264 E ROLLINS STREET , 6TH FLOOR
ORLANDO, FL
32808-5519

Practice Phone: 407-303-6729
Practice Fax:

1912956095 — DEBORAH PITTENGER TEDESCO ARNP
Practice Location Address:

265 E ROLLINS ST STE 5300
ORLANDO, FL
32804-5519

Practice Phone: 407-821-3555
Practice Fax:

1740292069 — RICHARD DAVID KLEIN MD
Practice Location Address:

265 E ROLLINS ST STE 5300
ORLANDO, FL
32804-5519

Practice Phone: 74-821-3555
Practice Fax: 407-821-3556

1295854339 — MS. KIMBALIE COMMISSIONG LCSW
Practice Location Address:

1317 EDGEWATER DR # 5519
ORLANDO, FL
32804-6350

Practice Phone: 407-565-7310
Practice Fax:

1366735425 — DR. SABRINA NICOLE PAVRI MD
Practice Location Address:

265 E ROLLINS ST STE 5300
ORLANDO, FL
32804-5519

Practice Phone: 407-821-3555
Practice Fax: 407-821-3556

Directions to “ SEYED MORTEZA MOUSAVI HASSANZADEH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.