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Hamidreza
Hamidreza
Moghaddam
Medical doctor
Owner
North Miami, United States
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Hamidreza Moghaddam
Job Title
Medical Doctor
License Number
ME91771
License Status
Clear/Active
License Issue Date
22/10/2004
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
HAMIDREZA MOGHADDAM
Job Title
Medical Doctor
Location
North Miami, FL, USA
LIC ID
89563
Current License Expiration Date
31/01/2025
Original Date
22/10/2004
Professional Rank Code
ME
Effective Date
12/01/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
527 527 NE 124 TH ST
Practice Location Address City
NORTH MIAMI
Practice Location Address State
FL
Practice Location Address Zipcode
33161
Prescribing Indicator
Y
Florida Health Source
Full name
Hamidreza Moghaddam
Job Title
Medical Doctor
Location
33161, North Miami, FL, USA
License Status
CLEAR/ACTIVE
Year Began Practicing
01/07/2001
Other State Licenses State
MEMORIAL REGIONAL HOSPITAL
Other State Licenses Profession
HOLLYWOOD
Institution Name 1
UNIVERSIDAD IBEROAMERICANA
Dates of Attendance 1
01/09/1995 - 01/08/1998
Graduation Date 1
30/10/1998
License Expiry Date
31/01/2025
Memberships
This practitioner has an affiliation with the following committees: AMERICAN COLLEGE OF PHYSICIAN
Affiliations
This practitioner has not provided any national, state, local, county, or professional affiliations.
Board
BOARD OF MEDICINE
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