Individual
DR. MOHAMED HISHAM ANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PARK ST, JACKSONVILLE, FL 32204-3847
(904) 384-8733
(904) 384-9004
Mailing address
2150 PARK ST, JACKSONVILLE, FL 32204-3847
(904) 384-8733
(904) 384-9004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/28/2005
Last updated
07/07/2010
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