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FADEL ABOU GHAIDA

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1083292452

Individual Registrant:
 FADEL  ABOU GHAIDA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1055 CRYSTAL BAY LN  ORLANDO, FL 32828-6636 US
Tel: 407-690-9512  Fax: --

Contact information for business:
11375 CORTEZ BLVD  BROOKSVILLE, FL 34613-5409 US
Tel: 352-596-6632  Fax: --

Registration Information:
NPI: 1083292452
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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