Individual
MOUNIR F BANOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-3147
(386) 231-3695
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
(386) 231-4519
(386) 368-8927
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036076402
IL
207L00000X
Anesthesiology Physician
2021041427
MO
207L00000X
Anesthesiology Physician
35068550
OH
207L00000X
Anesthesiology Physician
4301407542
MI
207L00000X
Anesthesiology Physician
77083
GA
207L00000X
Anesthesiology Physician
ME176033
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.06855
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.06855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186543
—
OH
Enumeration date
07/21/2005
Last updated
03/02/2026
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