Individual
DR. HIBA AL-DABAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
40124 HIGHWAY 27 STE 102, DAVENPORT, FL 33837-5905
(863) 419-7509
(863) 419-7824
Mailing address
40124 HIGHWAY 27 STE 102, DAVENPORT, FL 33837-5905
(863) 419-7509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME104366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 104366
MEDICAL LICENSE #
FL
01
—
PTANDF759Z
MEDICARE PTAN
FL
Enumeration date
06/03/2008
Last updated
09/25/2019
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