Individual
MAHMOUD MAHFOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5215
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5215
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME137405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME137405
LICENSE NUMBER
FL
Enumeration date
10/25/2016
Last updated
01/24/2024
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