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General NPI Number Information
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NPI Number | 1508112731
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Entity Type | Individual
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Provider Name | MUAZ ALABD ALRAZZAK MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 9980 CENTRAL PARK BLVD. SUITE 206
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City | BOCA RATON
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State | FL
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Zip | 33428-1703
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Country | US
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Telephone | 561-558-1212
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Fax | 561-558-1292
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Provider Business Mailing Address
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Address Line | 5955 PONCE DE LEON BLVD
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City | CORAL GABLES
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State | FL
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Zip | 33146-2423
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Country | US
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Telephone | 305-661-1515
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Fax | 305-663-5998
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 004115
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | ME122512
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License Number State | FL
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