Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0011X | Interventional Cardiology | MD.36084 | AL |
Y | 207RI0011X | Interventional Cardiology | ME137851 | FL |
NPI | 1073848933 |
---|---|
Provider Name | Dr. Amr Helmy Moussa |
First Address | Celebration, FL 34747-5435 |
Second Address | Celebration, FL 34747-5435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2009 |
Last Update Date | 25/01/2019 |