Healthcare Provider Details

I. General information

NPI: 1588493837
Provider Name (Legal Business Name): ABDULRAHMAN MAMOON ALLAF
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NW 17TH ST
MIAMI FL
33136-1119
US

IV. Provider business mailing address

900 NW 17TH ST
MIAMI FL
33136-1119
US

V. Phone/Fax

Practice location:
  • Phone: 407-715-2577
  • Fax:
Mailing address:
  • Phone: 305-326-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberTRN43053
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: