Individual
MAZEN SANOUFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(305) 558-2500
Mailing address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(305) 615-7334
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
TRN36314
FL
Other
Enumeration date
10/28/2016
Last updated
08/08/2022
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