Individual
DR. FIRAS R MUWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CONE RD, MERRITT ISLAND, FL 32952-3114
(321) 453-1361
(321) 452-4939
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME94732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274921100
—
FL
01
—
37011X
FL MEDICARE
FL
Enumeration date
04/03/2006
Last updated
02/27/2020
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