# MOHAMED I ABDELAZIZ PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982914750
- **Authorized official:** DR. MOHAMED IBRAHIM ABDEL-AZIZ MD (PRESIDENT)
- **Authorized official phone:** (813) 654-3200

## Contact information

- **Practice address:** 620 EICHENFELD DR, BRANDON, FL 33511-5973
- **Practice address phone:** (813) 654-3200
- **Practice address fax:** (813) 653-0232
- **Mailing address:** 620 EICHENFELD DR, BRANDON, FL 33511-5973
- **Mailing address phone:** (813) 654-3200
- **Mailing address fax:** (813) 653-0232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME46054 | FL | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 11/03/2010
