Doctor Name: | ABEER MOUSTAFA ELMOHANDES |
NPI Number: | 1366753527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | TRN15418 |
Business Practice Address: | 178 Lasalle Lefall Dr Quincy, FL - 323515278 |
Business Phone Number: | 8508753600 |
Business Fax Number: | 8506277277 |
Mailing Address: | 178 Lasalle Lefall Dr, QUINCY |
State: | FL |
Postal Code: | 323515278 |
Phone Number: | 8508753600 |
Fax Number: | 8506277277 |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 08/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | TRN15418 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |