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Individual

DR. MOHAMMAD HASSAN ABOUSHAAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1555 KINGSLEY AVE, SUITE 601, ORANGE PARK, FL 32073-4560
(904) 264-0264
(904) 278-2437
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 282-4117

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME65257
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376161400
FL
Enumeration date
07/13/2006
Last updated
11/30/2021
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