Individual
MAZHAR KAYYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 676-0255
Mailing address
8 LIONSHEAD DR, ORMOND BEACH, FL 32174-9041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME79963
FL
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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