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Individual

AMMAR HATAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3645 MADACA LN, TAMPA, FL 33618-2048
(813) 969-0116
(813) 969-3794
Mailing address
3645 MADACA LN, TAMPA, FL 33618-2048
(813) 969-0116
(813) 969-3794

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36094
IA
207K00000X
Allergy & Immunology Physician
A98776
CA
207K00000X
Allergy & Immunology Physician
ME125432
FL

Other

Enumeration date
09/15/2008
Last updated
02/01/2016
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