| Dr Mostafa El Ghissassi, MD | |
|
9611 W Broward Blvd, Plantation, FL 33324-2334 | |
| (954) 924-7000 | |
| Not Available |
| Full Name | Dr Mostafa El Ghissassi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 9611 W Broward Blvd, Plantation, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114017811 | NPI | - | NPPES |
| 02676355 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME152727 (Florida) | Primary |
| 208000000X | Pediatrics | 226312 (New York) | Secondary |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mostafa El Ghissassi, MD 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 281-9065 | Dr Mostafa El Ghissassi, MD 9611 W Broward Blvd, Plantation, FL 33324-2334 Ph: (954) 924-7000 |
Shanna Stephen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 | |
Dr. Joseph Wirth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10179 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-475-2290 Fax: 954-475-2275 | |
Joanna M Allison, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 Fax: 954-424-7000 | |
Dr. Angela Mary-riad Samuel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 | |
Oneilia Brooks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 Fax: 954-424-6003 | |
Shirley Campbell-mogg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4101 Nw 4th Street, Suite 200, Plantation, FL 33317 Phone: 954-791-5420 Fax: 954-791-5950 |