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Individual

BAHA ALDEEN BANI FAWWAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
2501 N ORANGE AVE STE 235, ORLANDO, FL 32804-4659
(407) 303-7270
Mailing address
2415 N ORANGE AVE STE 200, ORLANDO, FL 32804-5505
(407) 303-7270

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158656
FL
208D00000X
General Practice Physician
158656
FL

Other

Enumeration date
04/04/2020
Last updated
06/12/2023
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