Individual
HANEEN SARA AYYOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258-5233
(904) 224-5437
Mailing address
8550 TOUCHTON RD APT 1112, JACKSONVILLE, FL 32216-2206
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9117130
FL
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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