Individual
MARC MOURAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-3131
Mailing address
3506 PALM CROSSING DR, APARTMENT 303, TAMPA, FL 33613-5435
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
TRN# 23706
FL
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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