Mowaffak Atfeh MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME54349 Issued in FL

Legal business name

MOWAFFAK ATFEH MD PA

Practice address

11373 Cortez Blvd
Suite 307
Brooksville, FL 34613

Phone

(352) 596-1616

Fax

(352) 596-5707

NPI assigned

Mar 15, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mowaffak Atfeh, MDNPI 1124215249

Title

President

Phone

(352) 596-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mowaffak Atfeh, M.D.

  • Interventional Cardiology Physician
  • Brooksville, FL
  • NPI 1124215249

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467586065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 307",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-1616",
            "fax_number": "352-596-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 307",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-1616",
            "fax_number": "352-596-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWAFFAK ATFEH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ATFEH",
        "authorized_official_first_name": "MOWAFFAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-596-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME54349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "1001045558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yocaira Morillo Perez
• Alexa Nicole Morrow, DO
• Apryl Hawthorne Moss, ARNP
• Steven Harding Moss, M.D.
• Kathryn D Moulton-Gray, ARNP
• Bryan T Moynihan, P.A.C.
• Daniel P Moynihan, M.D.
• Basappa Mruthyunjaya, DDS
• Ms Lutz LLC
• Tabitha E Muchler, ARNP

• Cardiovascular Disease Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.