Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amir Mostatabzadeh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457883019

Amir Mostatabzadeh is a Student in an Organized Health Care Education/Training Program in Brandon, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2119 W Brandon Blvd Ste F
Brandon, FL 33511-4731
Phone: (239) 405-5592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2337 Sw Archer Rd Apt 2054, Gainesville, FL 32608-1047 — (239) 405-5592

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22889 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457883019
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 31, 2017
Last updated in NPPESJune 29, 2019

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