Individual
ABU HURAIRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 OCOEE APOPKA RD STE 110, APOPKA, FL 32703
(407) 303-1812
(407) 303-1815
Mailing address
2100 OCOEE APOPKA RD STE 110, APOPKA, FL 32703-9210
(407) 303-1812
(407) 303-1815
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME134048
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
08/19/2011
Last updated
07/18/2018
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