Individual
AYHAM MOUAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18550 US HIGHWAY 441, SUITE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 307-8442
Mailing address
18550 US HIGHWAY 441, SUITE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 307-8442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME115250
FL
208M00000X
Hospitalist Physician
ME115250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009115300
—
FL
Enumeration date
07/29/2010
Last updated
09/21/2021
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