MAZEN A ABBOUD (NPI# 1669417143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669417143 |
| Entity Type | Individual |
| Full Name | MAZEN A ABBOUD |
| Credential | DPM |
| Practice Address |
13417 Us Highway 301 Suite B Dade City FL 33525-5446 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8137780440 |
| Practice Fax Number | 8133555019 |
| Mailing Telephone | 8137801255 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3233 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340592300 | 05 | |
| FL | R&R MEDICARE | P01170435 | 01 |
| Street Address |
13417 US HIGHWAY 301 SUITE B |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639572373 | Susan J Gibbs | Nurse Practitioner | 13417 Us Highway 301, Ste B, Dade City, FL 33525-5446 | 2014-10-08 |
| 1659614162 | Joseph Michael Genualdi Jr. | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-04-03 |
| 1740522754 | Florida Medical Clinic LLC | Clinic/Center | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-03-18 |
| 1326310780 | Felicia Seal | Social Worker | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2012-02-01 |
| 1457689275 | Danielle Williamson | Nurse Practitioner | 13417 Us Highway 301, Suite D, Dade City, FL 33525-5446 | 2009-12-07 |
| 1790949113 | Camille Nancy Anise | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-07-15 |
| 1447417076 | Joan E Heitzler | Nurse Practitioner | 13417 Us Highway 301, Ste. A, Dade City, FL 33525-5446 | 2008-05-21 |
| 1669639183 | Bay Area Neurology Consultants Pl | Psychiatry & Neurology | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-05-21 |
| 1326215641 | Church Street Medical Center | Internal Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-05-15 |
| 1548375876 | Anthony Esposito | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659614162 | Joseph Michael Genualdi Jr. | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.