Individual
DR. HAZEM LOUAE ABUGRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 3, TAMPA, FL 33607-6307
(813) 870-4933
(813) 870-4887
Mailing address
3001 W DR MLK BLVD, TAMPA, FL 33607-6307
(813) 870-4933
(813) 870-4887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME121863
FL
208M00000X
Hospitalist Physician
Primary
ME121863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018145200
—
FL
Enumeration date
04/29/2011
Last updated
03/03/2022
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