Individual
DR. ABDUL MOUNNEM YASSIN KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 LAKELAND BLVD, LAKELAND, FL 33805-4544
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
82166-20
WI
207T00000X
Neurological Surgery Physician
Primary
ME175216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100282514
—
WI
05
—
127775100
—
FL
01
—
J0BGE
BCBS
FL
Enumeration date
06/10/2024
Last updated
12/07/2025
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