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Individual

DR. SHAIMAA MAHMOUD HASSANEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6820 W SUNRISE BLVD, PLANTATION, FL 33313-4570
(954) 743-1918
(954) 743-1915
Mailing address
4046 NW 10TH PL, PLANTATION, FL 33313-6709
(415) 802-8241

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H255793836210
FL
Enumeration date
09/28/2021
Last updated
09/28/2021
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