Individual
HATEM AL-TAKROURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0254
(352) 273-8610
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E2830
AR
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME136212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100334700
—
FL
05
—
146585001
—
AR
Enumeration date
10/13/2006
Last updated
01/24/2019
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