Individual
MAZEN A ABBOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13417 US HIGHWAY 301, SUITE B, DADE CITY, FL 33525-5446
(813) 778-0440
(813) 355-5019
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340592300
—
FL
01
—
P01170435
R&R MEDICARE
FL
Enumeration date
06/18/2006
Last updated
08/24/2021
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