Organization
MOWAFFAK ATFEH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOWAFFAK ATFEH MD (PRESIDENT)
(352) 596-1616
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 307, BROOKSVILLE, FL 34613
(352) 596-1616
(352) 596-5707
Mailing address
11373 CORTEZ BLVD, SUITE 307, BROOKSVILLE, FL 34613
(352) 596-1616
(352) 596-5707
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME54349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001045558
CLIA
FL
Enumeration date
03/15/2007
Last updated
03/07/2023
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