Individual
MOHAMED CHEHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9470491
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11024283
FL
Other
Enumeration date
12/12/2022
Last updated
03/06/2023
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