Individual
THAER A MUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 201-4834
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 201-4834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59500
TN
207RC0000X
Cardiovascular Disease Physician
175970
FL
207RI0011X
Interventional Cardiology Physician
Primary
175970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175970
LICENSE
FL
01
—
59500
MEDICAL LICENSE
TN
Enumeration date
03/25/2016
Last updated
09/05/2025
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