Mousli, Hasan M.

Mousli, Hasan M. is an individual health care provider with primary practice located at 1120 Carlton Ave Suite 1300, Lake Wales FL 33853-4348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mousli, Hasan M. can be contacted via phone (863) 676-6386.

Contact Information

Primary practice address
1120 Carlton Ave Suite 1300 Lake Wales FL 33853-4348
Phone: (863) 676-6386
Fax: (863) 676-6452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME97722 Florida

Profile Details

NPI number 1710984679
LBN Legal business name Mousli, Hasan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Sep 20th, 2012 - about 13 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 1710984679 NPPES
Florida MEDICAID 277700200
Florida Other 92669

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