Individual
DR. BAHA QABLAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9 SAINT JOHNS MEDICAL PARK DR STE B, ST AUGUSTINE, FL 32086-5955
(904) 621-3208
Mailing address
8981 SW 17TH CT, MIRAMAR, FL 33025-7600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4364
WV
1223G0001X
General Practice Dentistry
Primary
DN23960
FL
Other
Enumeration date
09/18/2018
Last updated
06/25/2026
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