El-Jassous, Imad V

El-Jassous, Imad V is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 924 , The Villages FL 32159-6812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. El-Jassous, Imad V can be contacted via phone (352) 633-8319.

Contact Information

Primary practice address
1400 N Us Highway 441 Ste 924 The Villages FL 32159-6812
Phone: (352) 633-8319
Fax: (352) 633-8434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME100380 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME100380 Florida

Profile Details

NPI number 1033374301
LBN Legal business name El-Jassous, Imad V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Aug 3rd, 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 1033374301 NPPES
Florida MEDICAID 000991700

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