Abboud, Mazen A

Abboud, Mazen A is an individual health care provider with primary practice located at 13417 Us Highway 301 Suite B, Dade City FL 33525-5446. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Abboud, Mazen A can be contacted via phone (813) 778-0440.

Contact Information

Primary practice address
13417 Us Highway 301 Suite B Dade City FL 33525-5446
Phone: (813) 778-0440
Fax: (813) 355-5019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3233 Florida

Profile Details

NPI number 1669417143
LBN Legal business name Abboud, Mazen A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669417143 NPPES
Florida Other P01170435 R&R MEDICARE
Florida MEDICAID 340592300 R&R MEDICARE

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