Aboushaar, Mohammad Hassan

Aboushaar, Mohammad Hassan is an individual health care provider with primary practice located at 1555 Kingsley Ave Suite 601, Orange Park FL 32073-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Aboushaar, Mohammad Hassan can be contacted via phone (904) 264-0264.

Contact Information

Primary practice address
1555 Kingsley Ave Suite 601 Orange Park FL 32073-4560
Phone: (904) 264-0264
Fax: (904) 278-2437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME65257 Florida

Profile Details

NPI number 1194740993
LBN Legal business name Aboushaar, Mohammad Hassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 30th, 2021 - about 3 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 1194740993 NPPES
Florida MEDICAID 376161400

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