Dr. Maen A Hussein
Hematologist Medical Oncology
4100 Waterman Way
Tavares
, Florida 32778-5270
Dr. Maen A Hussein
Hematologist Medical Oncology
4100 Waterman Way
Tavares
, Florida 32778-5270
(239) 278-3350
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About
Features
Specialties
- Hematologist
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Maen A Hussein
- 4371 Veronica S Shoemaker Blvd Attn: Credential Department
- Fort Myers, FL
- Zip : 33916-2216
- Fax : (239) 278-3350
- Phone : (239) 274-8200
Second Address
- Dr. Maen A Hussein
- 4100 Waterman Way
- Tavares, FL
- Zip : 32778-5270
- Fax : (866) 445-2968
- Phone : (352) 343-1117
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0000X | Hematologist | ME96921 | FL |
| Y | 207RX0202X | Medical Oncology | ME96921 | FL |
National Provider Identifier
| NPI | 1356332506 |
|---|---|
| Provider Name | Dr. Maen A Hussein |
| First Address | Fort Myers, FL 33916-2216 |
| Second Address | Tavares, FL 32778-5270 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2005 |
| Last Update Date | 12/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 277174800 | (05) | FL |
| I17210 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.