Individual
AYMAN ODEH MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
737 SW 109TH AVE # 1510B, MIAMI, FL 33174-1339
(813) 409-0043
Mailing address
464 SW 119TH AVE, LAKELNAD, FL 33174-1339
(813) 409-0043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9121454
FL
Other
Enumeration date
03/02/2026
Last updated
04/29/2026
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