Individual
ABDALLAH AL MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8991 DANIELS CENTER DR STE 105, FORT MYERS, FL 33912-0317
(239) 440-6456
(239) 236-0337
Mailing address
PO BOX 9279, JUPITER, FL 33468-9279
(239) 440-6456
(239) 236-0337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068231
IL
207R00000X
Internal Medicine Physician
Primary
ME158865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME158865
LICENSE
FL
Enumeration date
07/11/2016
Last updated
11/25/2025
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