Organization
AZZAM MUFTAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZZAM MUFTAH MD (PHYSICIAN)
(352) 597-7744
Entity
Organization
Contact information
Practice address
15205 CORTEZ BLVD, BROOKSVILLE, FL 34613-6072
(352) 597-7744
(352) 597-7797
Mailing address
15205 CORTEZ BLVD, BROOKSVILLE, FL 34613-6072
(352) 597-7744
(352) 597-7797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 68485
FL
Other
Enumeration date
02/23/2007
Last updated
06/25/2026
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