Individual
DR. GHIATH MAHMALJY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 304, BROOKSVILLE, FL 34613-5414
(352) 597-8994
(352) 597-8901
Mailing address
14690 SPRING HILL DR, STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME45844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26074
BCBS
FL
01
—
P01194861
RR MCR
FL
Enumeration date
01/31/2006
Last updated
11/25/2020
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