Individual
ABDULLAH AZZAM MUFTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15205 CORTEZ BLVD, BROOKSVILLE, FL 34613-6072
(352) 597-7744
(352) 597-7797
Mailing address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
BP20084452
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
05/14/2026
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