Individual
DR. ANTHONY ALAN ABOUHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2814 14TH AVE SE, RUSKIN HEALTH CENTER, RUSKIN, FL 33570
(813) 349-7800
(813) 349-7861
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272650500
—
FL
Enumeration date
07/14/2006
Last updated
05/01/2013
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