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

Dr. Mohammad Reza Mastali, MD

Individual provider Gastroenterology Physician · NPI 1689762924

Dr. Mohammad Reza Mastali, MD is a Gastroenterology in Davenport, Florida. Qualified in 1995, 31 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Park Place Blvd Ste A
Davenport, FL 33837-6870
Phone: (863) 419-2156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10000 W Colonial Dr Ste 389, Ocoee, FL 34761-3433 — (407) 822-1171

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME 85686 (FL)

Record details

NPI number1689762924
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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