Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OS10252 | FL |
Y | 111NI0900X | Internist | OS10252 | FL |
N | 207R00000X | Internist | OT011199 | PA |
N | 111NI0900X | Internist | OT011199 | PA |
N | 207RH0002X | Hospice and Palliative Medicine | OS10252 | FL |
NPI | 1093923336 |
---|---|
Provider Name | Helwey Mustafa |
First Address | Fort Pierce, FL 34950-5102 |
Second Address | Fort Pierce, FL 34950-5102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 29/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000307000 | (05) | FL |