Individual
FADEL ABOU GHAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 CRYSTAL BAY LN, ORLANDO, FL 32828-6636
(407) 690-9512
Mailing address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 596-6632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME167079
FL
Other
Enumeration date
03/29/2021
Last updated
04/16/2024
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