Individual
DR. HASAN ABUALULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10250 SE 167TH PLACE RD, SUITE 5, SUMMERFIELD, FL 34491-8686
(352) 307-9925
(352) 307-8442
Mailing address
10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL 34491-8682
(352) 307-9925
(352) 307-8442
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME121246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014929400
—
FL
Enumeration date
03/26/2009
Last updated
01/10/2018
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