Individual
MOUSTAFA ELSEBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 POPE AVE NW STE 100, WINTER HAVEN, FL 33881-4679
(863) 293-2144
(863) 293-3732
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 967-6400
(954) 337-5755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME164780
FL
405300000X
Prevention Professional
TRN34193
FL
Other
Enumeration date
08/24/2021
Last updated
09/16/2024
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