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Individual

RAJAB K ABUKHADRAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
821 OAKLEY SEAVER DR, CLERMONT, FL 34711-1968
(352) 242-1665
(352) 243-1649
Mailing address
821 OAKLEY SEAVER DR, CLERMONT, FL 34711-1968
(352) 242-1665
(352) 243-1649

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME74082
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256031300
FL
Enumeration date
02/22/2006
Last updated
03/09/2023
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