Individual
HANIN ABOU AYASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 S MAIN ST, LABELLE, FL 33935-4448
(863) 675-0160
(863) 675-1346
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME127331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017715600
—
FL
Enumeration date
06/14/2013
Last updated
10/16/2020
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