Individual
BASEL AL ALOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DO, MB, BCH
Contact information
Practice address
1050 OLD CAMP RD, SUITE 270, THE VILLAGES, FL 32162-1762
(352) 633-1966
(352) 633-1969
Mailing address
1050 OLD CAMP RD, SUITE 270, THE VILLAGES, FL 32162-1762
(352) 633-1966
(352) 633-1969
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME 120823
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013291300
—
FL
01
—
ME120823
FL STATE LICENSE
FL
Enumeration date
07/10/2007
Last updated
02/25/2016
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