Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 25705 | FL |
NPI | 1528653383 |
---|---|
Provider Name | Dr. Mohamed El-Rabbany |
First Address | Tampa, FL 33607-6451 |
Second Address | Tampa, FL 33607-6438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2021 |
Last Update Date | 08/03/2021 |