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Individual

DR. JIHAD ALI MUSTAPHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 NESBIT ST, PUNTA GORDA, FL 33950-3828
(941) 559-8995
(941) 559-8996
Mailing address
310 NESBIT ST, PUNTA GORDA, FL 33950-3828
(941) 559-8995
(941) 559-8996

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301068712
MI
207RC0000X
Cardiovascular Disease Physician
Primary
ME154080
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301068712
STATE LICENSE
MI
05
4719742
MI
01
P00051788
RAILROAD MEDICARE
MI
Enumeration date
11/03/2005
Last updated
02/17/2026
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