White Sands Medical Group
NPI #1801676531 in Lynn Haven, Florida
Provider Information
- NPI Number
- 1801676531
- Entity Type
- Organization
- Organization Name
- White Sands Medical Group
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Oct 2, 2023
- Last Updated
- Jan 31, 2025
Practice Location
- Address
- 1702 OHIO AVE
- City
- Lynn Haven
- State
- Florida
- ZIP Code
- 32444-4290
- Phone
- (850) 647-8825
Authorized Official
- Name
- DR. FARID BRAD MOZAFFARI, MD
- Title
- PRESIDENT
- Phone
- (850) 647-8825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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