Individual
DR. MOHAMMAD A. ABUEL-HAIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12432 KELLY SANDS WAY, FORT MYERS, FL 33908-5969
(561) 755-0203
Mailing address
12432 KELLY SANDS WAY, FORT MYERS, FL 33908-5969
(561) 755-0203
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01066094A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME107020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002896100
—
FL
Enumeration date
07/15/2008
Last updated
03/15/2016
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