Elazizi, Mohamad

Elazizi, Mohamad is an individual health care provider with primary practice located at 1281 Florida Ave S , Rockledge FL 32955-2439. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Elazizi, Mohamad can be contacted via phone (321) 632-3171.

Contact Information

Primary practice address
1281 Florida Ave S Rockledge FL 32955-2439
Phone: (321) 632-3171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN 20817 Florida
Dental Providers / Dentist 122300000X 2901021068 Michigan
Dental Providers / Periodontics 1223P0300X DN20817 Florida

Profile Details

NPI number 1417389172
LBN Legal business name Elazizi, Mohamad
Credentials BDS, MSC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2013
Last updated Jan 19th, 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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