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Individual

DR. HATEM M. MOUSSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2633 HWY 77, SUITE B, PANAMA CITY, FL 32405
(850) 215-7162
(850) 215-7186
Mailing address
2633 HWY 77, SUITE B, PANAMA CITY, FL 32405-4406
(850) 215-7162
(850) 215-7186

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME95473
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277401100
FL
Enumeration date
01/03/2006
Last updated
02/04/2010
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