Individual
KHADIJA HUSSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 403-1562
Mailing address
5870 HIATUS RD, TAMARAC, FL 33321-6424
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
08/11/2016
Last updated
10/24/2018
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