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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194740993 | NPPES |
| Florida | MEDICAID | 376161400 |
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