Individual
DALAL MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5167 78TH ST CIR E, BRADENTON, FL 34203-5617
(313) 352-9310
Mailing address
5167 78TH ST CIR E, BRADENTON, FL 34203-5617
(313) 352-9310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11027612
FL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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