Al-Mousily, Faris M.

Al-Mousily, Faris M. is an individual health care provider with primary practice located at 3021 W Eau Gallie Blvd Ste 101 , Melbourne FL 32934-7005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Al-Mousily, Faris M. can be contacted via phone (321) 275-5444.

Contact Information

Primary practice address
3021 W Eau Gallie Blvd Ste 101 Melbourne FL 32934-7005
Phone: (321) 275-5444
Fax: (321) 275-3799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME70809 Florida

Profile Details

NPI number 1114025301
LBN Legal business name Al-Mousily, Faris M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 18th, 2022 - about 2 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 1114025301 NPPES
Florida MEDICAID 2506050000

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