Individual
ALA F SAHAWNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1933 W LUMSDEN RD, BRANDON, FL 33511-8819
(813) 653-3111
(813) 653-1384
Mailing address
10051 5TH ST N STE 200, JSA HEALTHCARE CORP, ST PETERSBURG, FL 33702-2211
(813) 653-3111
(813) 653-1384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME93563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276792900
—
FL
Enumeration date
07/13/2006
Last updated
12/14/2016
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