Individual
FADY ASHAMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42725 HIGHWAY 27, STE 202, DAVENPORT, FL 33837-6821
(407) 647-1781
Mailing address
42725 HIGHWAY 27, STE 202, DAVENPORT, FL 33837-6821
(407) 647-1781
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME117175
FL
Other
Enumeration date
07/31/2008
Last updated
10/04/2016
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