Individual
ANISA MUSALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7007 W BROWARD BLVD UNIT 5, PLANTATION, FL 33317-2208
(954) 791-3636
Mailing address
2000 HEALTH PARK DR FL 2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9114230
FL
Other
Enumeration date
03/03/2021
Last updated
01/24/2025
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