Individual
FAWZI GEORGE MEHANNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4925 OLD HWY 37, LAKELAND, FL 33813
(863) 648-5300
(863) 648-5377
Mailing address
4925 OLD HWY 37, LAKELAND, FL 33813
(863) 648-5300
(863) 648-5377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME75774
FL
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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