Fadel Abou Ghaida
Family Medicine in Orlando, FL. Individual provider (NPI-1).
NPI number1083292452
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1083292452
- Entity type
- Individual (NPI-1)
- Name
- Fadel Abou Ghaida
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME167079 | FL | Yes |
Practice location
1055 Crystal Bay LnOrlando, FL 32828-6636
Phone 407-690-9512
Mailing address
11375 Cortez BlvdBrooksville, FL 34613-5409
Phone 352-596-6632
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