Individual
DR. MOUNIR MAKRAM WASSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12788 FOREST HILL BLVD STE 1004, WELLINGTON, FL 33414-4703
(561) 246-1791
(561) 469-6456
Mailing address
12788 FOREST HILL BLVD STE 1004, WELLINGTON, FL 33414-4703
(561) 246-1791
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS10492
FL
207R00000X
Internal Medicine Physician
OS 10492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14JU9
BLUE CROSS
FL
Enumeration date
03/10/2009
Last updated
03/04/2022
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