Individual
SHAHROSE HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-3147
(386) 231-3695
Mailing address
PO BOX 945921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME167705
FL
Other
Enumeration date
07/16/2018
Last updated
07/01/2024
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