Individual
DR. MOHAMAD HAMMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 549-0535
(321) 676-9731
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 549-0535
(321) 951-7405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS15457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119556700
—
FL
01
—
KP712
MEDICARE
FL
Enumeration date
04/30/2013
Last updated
12/05/2024
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