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Individual

ABDUL GHANI MIKATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
ME149561
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110956800
FL
01
GRVEH
BCBS
FL
Enumeration date
06/17/2014
Last updated
03/30/2025
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