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Individual

DAMANI A HOSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
730 MALABAR RD STE B, MALABAR, FL 32950-3140
(321) 409-6800
(321) 409-6810
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 409-6800
(321) 951-7408

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME88938
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37964X
MEDICARE
FL
01
P01164151
RRMR
FL
Enumeration date
11/02/2005
Last updated
05/09/2018
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