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Individual

IHAB HERRAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5196 MARINER BLVD, SPRING HILL, FL 34609-1802
(352) 263-2831
(352) 263-2845
Mailing address
14690 SPRING HILL DR, STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN10010
FL
207RG0100X
Gastroenterology Physician
31083
OK
207RG0100X
Gastroenterology Physician
E-7210
AR
207RG0100X
Gastroenterology Physician
E7210
AR
207RG0100X
Gastroenterology Physician
Primary
ME111070
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193771001
AR
05
200449360A
OK
Enumeration date
10/10/2006
Last updated
11/27/2020
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