Individual provider · NPI-1

Dr. Anthony Alan Abouhanna, DO

Family Medicine · Ruskin, FL

NPI number1245256361
StatusActive
Last updated in NPPESMay 1, 2013

Details

NPI
1245256361
Entity type
Individual (NPI-1)
Name
Dr. Anthony Alan Abouhanna
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2006
Last updated
May 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine059291FLYes

Practice location

2814 14th Ave Se
Ruskin Health Center
Ruskin, FL 33570

Phone 813-349-7800 · Fax 813-349-7861

Mailing address

13110 Elk Mountain Dr
Riverview, FL 33579-7182

Phone 813-349-7568 · Fax 813-349-7561

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