Individual
HADI A SHALHOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13110 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
(772) 581-4499
Mailing address
13100 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
(772) 581-4478
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OS 7619
FL
208D00000X
General Practice Physician
OS7619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8582900
—
FL
Enumeration date
01/22/2007
Last updated
01/30/2023
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