Imad V El-jassous MD

NPI 1033374301 - Internal Medicine - 207RH0003X

NPI Details
NPI 1033374301
Gender Male
Enumeration Date 07/25/2008
Last Updated 08/19/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1600 W MAIN ST
LEESBURG FL, 34748-2811, US
Phone (352) 530-2189
Fax (352) 435-7687
Business Location
4371 VERONICA S SHOEMAKER BLVD
ATTN: CREDENTIALING DEPT.
FORT MYERS FL, 33916-2216, US
Phone (239) 274-8200
Fax (239) 278-3350
Toxanomy
Taxonomy Code 207RH0003X
License State Florida
License Number ME100380
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According to our database, Dr. Imad V El-jassous MD NPI is 1033374301, taxonomy code is 207RH0003X and license number is ME100380, license state is located at Florida. Imad V El-jassous MD physically located at 1600 W Main St, Leesburg FL, 34748-2811. NPI Number Imad V El-jassous MD has the Individual type.

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1033374301 NPI number is provided on an as is basis without warranty of any kind. 1033374301 is maintained by the National Plan & Provider Enumeration System. The contents of Imad V El-jassous MD are for informational purposes only.