Provider Demographics
NPI:1841938529
Name:MOHIUDDIN, HIBA MANSOOR (DPM)
Entity type:Individual
Prefix:
First Name:HIBA
Middle Name:MANSOOR
Last Name:MOHIUDDIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5690 WINDHOVER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7935
Mailing Address - Country:US
Mailing Address - Phone:407-352-5571
Mailing Address - Fax:407-671-4155
Practice Address - Street 1:5690 WINDHOVER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7935
Practice Address - Country:US
Practice Address - Phone:407-352-5571
Practice Address - Fax:407-671-4155
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4653213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery