Habal, Mutaz B
Habal, Mutaz B is an sole proprietor health care provider with primary practice located at 205 W Dr Martin Luther King Jr Blvd Suite 103, Tampa FL 33603-3600. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Habal, Mutaz B can be contacted via phone (813) 238-0409.Contact Information
Primary practice address
205 W Dr Martin Luther King Jr Blvd Suite 103
Tampa FL 33603-3600
Phone: (813) 238-0409
Fax: (813) 238-1119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME21292 | Florida |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | ME21292 | Florida |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME21292 | Florida |
Profile Details
| NPI number | 1801989017 |
|---|---|
| LBN Legal business name | Habal, Mutaz B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | May 15th, 2008 - about 16 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 | 1801989017 | NPPES |
| Florida | Other | 202540 | AMERIGROUP |
| Florida | Other | 592023224 | AMERIGROUP |
| Florida | Other | 68008 | AMERIGROUP |
| Florida | Other | 01047 | AMERIGROUP |
| Florida | Other | 1247218 | AMERIGROUP |
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