Individual
JOHN R. HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1960 NE 47TH ST, 2ND FLOOR, FT LAUDERDALE, FL 33308-7708
(954) 493-5005
Mailing address
1960 NE 47TH ST, 2ND FLOOR, FT LAUDERDALE, FL 33308-7708
(954) 493-5005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME79800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49804
BLUE CROSS
FL
Enumeration date
02/21/2006
Last updated
07/08/2007
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