Individual ProviderMaryam MogharehInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464(561) 955-2570PECOS EnrollmentBased on the most recent information from CMS, provider Maryam Moghareh 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 3 days ago.Profile DetailsProvider ID1750888111Provider TypeIndividualFull NameMoghareh, MaryamCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/11/2018Last Updated8/8/2022Contact InformationPractice LocationPractice Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464Phone(561) 955-2570FaxUnlisted FaxMailing LocationMailing Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464Phone(561) 955-2570Fax(561) 955-2572Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME157239Florida