Individual
DR. MOHANNAD ABUSHORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3237
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3237
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.146524
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2020
Last updated
10/08/2022
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