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General NPI Number Information
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NPI Number | 1619071354
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Entity Type | Individual
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Provider Name | MOHEB MICHEAL MOSA MBCHB MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 160 NW 170TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5576
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Country | US
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Telephone | 305-651-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 16699 COLLINS AVE APT 1408
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-5415
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Country | US
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Telephone | 301-697-4047
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D0054453
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME151187
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License Number State | FL
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