Individual
ALAA FAWZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5236 LEGENDARY LOOP APT 212, WESLEY CHAPEL, FL 33544-8659
(614) 369-7700
Mailing address
5236 LEGENDARY LOOP APT 212, WESLEY CHAPEL, FL 33544-8659
(614) 369-7700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
38673
TX
122300000X
Dentist
38673
TX
122300000X
Dentist
Primary
DN29851
FL
Other
Enumeration date
07/15/2022
Last updated
01/16/2025
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