Individual
DR. MUHANAD A MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 MEDICAL PARK DRIVE, SUITE 340, TAMPA, FL 33613-4681
(813) 615-7028
(813) 615-8008
Mailing address
3000 MEDICAL PARK DRIVE, SUITE 340, TAMPA, FL 33613-4681
(813) 615-7028
(813) 615-8008
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME115769
FL
207RG0100X
Gastroenterology Physician
ME87884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U1620Y
MEDICARE ID
FL
Enumeration date
07/03/2006
Last updated
12/19/2014
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