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Individual

DR. HUSSAM ISMAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
17222 HOSPITAL BLVD, SUITE 326, BROOKSVILLE, FL 34601-8925
(352) 686-2360
(352) 556-4818
Mailing address
17222 HOSPITAL BLVD, SUITE 326, BROOKSVILLE, FL 34601-8925
(352) 686-2360
(352) 556-4818

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301097478
MI
208600000X
Surgery Physician
Primary
ME127794
FL

Other

Enumeration date
12/21/2010
Last updated
01/12/2017
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