Individual
DR. MOUSA R BATEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3550 UNIVERSITY BLVD S, STE 204, JACKSONVILLE, FL 32216-4246
(904) 384-2240
(904) 448-0030
Mailing address
915 W MONROE ST, STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 384-6055
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO3191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340528100
—
FL
Enumeration date
07/19/2005
Last updated
12/03/2009
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