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

Mojdeh Baniasadi, DIO

Individual provider Family Medicine Physician · NPI 1952085649

Mojdeh Baniasadi, DIO is a Family Practice in Daytona Beach, Florida. Qualified in 2023, 3 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023

Practice location Address checks out

201 N Clyde Morris Blvd Ste 200
Daytona Beach, FL 32114-2765
Phone: (386) 425-4165
Fax: (386) 425-7545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence UO9185 (FL)

Record details

NPI number1952085649
Entity typeIndividual (Type 1)
GenderFemale
Credentials DIO
Sole proprietorNo
NPI enumeratedJune 13, 2023
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Halifax Healthcare Systems Inc — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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