Individual
MOTASEM AL MAAIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-3000
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01092437A
IN
207X00000X
Orthopaedic Surgery Physician
14308
ZZ
207X00000X
Orthopaedic Surgery Physician
Primary
MFC1741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790053841
ANTHEM PTAN
IN
05
—
300086265
—
IN
Enumeration date
12/05/2011
Last updated
05/06/2025
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