Individual ProviderIzdean MuflehInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202(561) 486-1449PECOS EnrollmentBased on the most recent information from CMS, provider Izdean Mufleh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053707604Provider TypeIndividualFull NameMufleh, IzdeanGenderMaleSole ProprietorNoEnumeration Date4/10/2015Last Updated3/11/2021Contact InformationPractice LocationPractice Address2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202Phone(561) 486-1449Fax(561) 258-6362Mailing LocationMailing Address3300 S Fiske Blvd, Rockledge, FL 32955-4306Phone(561) 486-1449FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOS15216FloridaProvider IdentifiersIDDescriptionIssuerIDM6824DescriptionOtherIssuerFL MEDICARE