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Individual

MOHAMED I KABLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1611 NW 12TH AVE # WW-279, MIAMI, FL 33136-1005
(305) 585-8178
Mailing address
1611 NW 12TH AVE # WW-279, MIAMI, FL 33136-1005
(305) 585-8178

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MFC1641
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MFC1641
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007712-00
FL
Enumeration date
10/18/2007
Last updated
11/17/2011
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