MEDICARE: DR. MOIZ MUSTAFA M.D.

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	2086S0120X	Pediatric Surgery Physician	ME128595	FL

General Provider Information

NPI Number	:	1952421208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOIZ MUSTAFA M.D.

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY # D
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:	954-276-5685
Fax Number	:	954-985-7074

Provider Business Practice Location Address
First Line	:	1150 N 35TH AVE STE 555
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5431
Country	:	US
Telephone Number	:	954-265-0072
Fax Number	:	954-981-0188

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

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	05/04/2026

Similar Medicare Providers

1154385789 — JONATHAN S ROBERTS MD
Practice Location Address:

1150 N 35TH AVE STE 600
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-7900
Practice Fax: 954-276-0260

1134187701 — CHAO-WEN LEE MD
Practice Location Address:

1150 N 35TH AVE STE 605
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-7900
Practice Fax:

1548207681 — DR. EDDY HERBERT CARRILLO MD
Practice Location Address:

1150 N 35TH AVE STE 600
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-5969
Practice Fax: 954-965-3599

1710996749 — RAFAEL SANCHEZ MD
Practice Location Address:

1150 N 35TH AVE STE 600
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-5969
Practice Fax: 954-965-3599

1356351076 — ANDREW ROSENTHAL MD
Practice Location Address:

1150 N 35TH AVE STE 600
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-5969
Practice Fax: 954-965-3599

1821191289 — OLIVER BENNETT LAO MD
Practice Location Address:

1150 N 35TH AVE STE 555
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-0072
Practice Fax: 954-981-0188

Directions to “ DR. MOIZ MUSTAFA M.D.” 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.