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MOUNA ABZEKKA
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1104297779
Individual Registrant: MOUNA ABZEKKA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
250 S WICKHAM RD WEST MELBOURNE, FL 32904-1134 US
Tel: 321-752-5210 Fax: --
Tel: 321-752-5210 Fax: --
Contact information for business:
2773 WHISTLER ST WEST MELBOURNE, FL 32904-7489 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1104297779
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9109085 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
