Individual
ANAS MOUREIDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
207RR0500X
Contact information
Practice address
11325 CORTEZ BLVD, SPRING HILL, FL 34613-5407
(352) 596-6333
(352) 596-0043
Mailing address
11325 CORTEZ BLVD, SPRING HILL, FL 34613-5407
(352) 596-6333
(352) 596-0043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0068640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05483
UNIVERSAL
FL
01
—
27219
BCBS
DC
01
—
71758
VYTRA INS
FL
Enumeration date
06/07/2006
Last updated
07/08/2007
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