Individual
MOHAMMAD HASSAN RAZZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11375 CORTEZ BLVD # SR50, BROOKSVILLE, FL 34613-5409
(352) 592-2757
Mailing address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 592-2757
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS19236
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
11/10/2022
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