Individual
DR. MOSTAFA EL GHISSASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 924-7000
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
226312
NY
208000000X
Pediatrics Physician
Primary
ME152727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02676355
—
NY
Enumeration date
10/13/2006
Last updated
05/06/2025
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