Organization
SPACE COAST LUNG & SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED MOATAZ TOBAN M.D. (OWNER/PHYSICIAN)
(931) 212-8192
Entity
Organization
Contact information
Practice address
205 N BANANA RIVER DR, SUITE 105, MERRITT ISLAND, FL 32952-2596
(931) 212-8192
Mailing address
205 N BANANA RIVER DR, SUITE 105, MERRITT ISLAND, FL 32952-2596
(931) 212-8192
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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