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Individual

JOSEPH E MOUHANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7575 SW 62ND AVE, SOUTH MIAMI, FL 33143-4955
(305) 447-6688
(305) 447-6588
Mailing address
7575 SW 62ND AVE, SOUTH MIAMI, FL 33143-4955
(305) 447-6688
(305) 447-6588

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
650853
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027018
NHP
01
22139
WELLCARE
01
235537
AVMED
FL
01
25838
BCBS
FL
05
375930000
FL
Enumeration date
12/22/2005
Last updated
03/01/2012
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