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NPI Code Detail

MEDICARE: WAEL DIAB

MEDICARE: WAEL DIAB
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
1183500000XPharmacistPS39616FL

General Provider Information

NPI Number : 1962005884
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAEL DIAB
Provider Business Mailing Address
First Line : 8830 CAMERON CREST DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-4712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8603 W HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33615-3810
Country : US
Telephone Number : 813-882-4029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2020
Last Update Date : 11/21/2020

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Directions to “ WAEL DIAB ” Practice Location

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