Healthcare Provider Details

I. General information

NPI: 1821403783
Provider Name (Legal Business Name): HOSSAM M ALZU'BI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26823 TANIC DR
WESLEY CHAPEL FL
33544-4605
US

IV. Provider business mailing address

26823 TANIC DR
WESLEY CHAPEL FL
33544-4605
US

V. Phone/Fax

Practice location:
  • Phone: 813-929-5193
  • Fax:
Mailing address:
  • Phone: 813-929-5193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME170301
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number62426
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME170301
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number62426
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number62426
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: