Alshazley, Moudar

Alshazley, Moudar is an individual health care provider with primary practice located at 4225 Woodbine Rd Suite A, Pace FL 32571-8790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Alshazley, Moudar can be contacted via phone (850) 994-6575.

Contact Information

Primary practice address
4225 Woodbine Rd Suite A Pace FL 32571-8790
Phone: (850) 994-6575
Fax: (850) 994-5643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME78728 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME78728 Florida

Profile Details

NPI number 1205887213
LBN Legal business name Alshazley, Moudar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2006
Last updated Feb 2nd, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205887213 NPPES
Florida MEDICAID 263433300

Popular Providers