Organization
MAMOON JARRAH MD PA
Active
Other names
M. Jarrah MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY SMITH (OFFICE MANAGER)
(941) 613-3773
Entity
Organization
Contact information
Practice address
2525 HARBOR BLVD, SUITE 202, PORT CHARLOTTE, FL 33952-5317
(941) 613-3773
(941) 629-6770
Mailing address
2525 HARBOR BLVD, SUITE 202, PORT CHARLOTTE, FL 33952-5317
(941) 613-3773
(941) 629-6770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0040565
FL
Other
Enumeration date
11/08/2007
Last updated
04/29/2013
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