Individual
MUSTAFA GHALIB FADHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(407) 303-7283
Mailing address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(407) 303-7283
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA10577200
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME161534
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2016
Last updated
08/16/2023
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