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NPI Code Detail

MEDICARE: MAAN MALOUF MD

MEDICARE: MAAN MALOUF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianME60893FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125679OTHERFLBCBS

General Provider Information

NPI Number : 1407836596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAAN MALOUF MD
Provider Business Mailing Address
First Line : PO BOX 452376
Second Line :
City : SUNRISE
State : FL
Zip : 33345-2376
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4105 PEMBROKE RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8103
Country : US
Telephone Number : 954-985-3441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 10/15/2007

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Directions to “ MAAN MALOUF MD” Practice Location

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