Jarrah, Mamoon

Jarrah, Mamoon is an sole proprietor health care provider with primary practice located at 2525 Harbor Blvd Suite 202, Port Charlotte FL 33952-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jarrah, Mamoon can be contacted via phone (941) 613-3773.

Contact Information

Primary practice address
2525 Harbor Blvd Suite 202 Port Charlotte FL 33952-5317
Phone: (941) 613-3773
Fax: (941) 629-6770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0040565 Florida

Profile Details

NPI number 1699719468
LBN Legal business name Jarrah, Mamoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Feb 2nd, 2010 - about 16 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 1699719468 NPPES
Florida Other 770002062 RR MEDICARE
Florida Other 629729 RR MEDICARE
Florida MEDICAID 066974100 RR MEDICARE
Florida Other 08118 RR MEDICARE
Florida Other 4652614 RR MEDICARE
Florida Other 5744032-004 RR MEDICARE
Florida Other 629729 RR MEDICARE

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