Individual ProviderMostafa El GhissassiPediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 924-7000(727) 281-9065PECOS EnrollmentBased on the most recent information from CMS, provider Mostafa El Ghissassi 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 15 days ago.Profile DetailsProvider ID1114017811Provider TypeIndividualFull NameEl Ghissassi, MostafaTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date10/13/2006Last Updated5/6/2025Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 924-7000FaxUnlisted FaxMailing LocationMailing Address2995 Drew St, Clearwater, FL 33759-3012Phone(727) 281-9065FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME152727FloridaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense226312New YorkProvider IdentifiersIDDescriptionIssuerID02676355DescriptionMedicaidIssuerUnlistedNew York