Individual
ADEEB MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 579-2753
(352) 591-6317
Mailing address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 579-2753
(352) 591-6317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME144774
FL
208M00000X
Hospitalist Physician
ME144774
FL
Other
Enumeration date
06/12/2017
Last updated
09/22/2021
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