NPI 1669417143 · live from the CMS NPI Registry
Mazen A Abboud, DPM
Podiatrist, Foot & Ankle Surgery in Dade City, FL. National Provider Identifier 1669417143, active.
NPI record
| NPI | 1669417143 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 13417 Us Highway 301, Suite B, Dade City, FL 33525 |
| Practice phone | 813-778-0440 |
| Mailing address | 38135 Market Sq, Zephyrhills, FL 33542 |
| Enumerated | June 18, 2006 |
| Last updated | August 24, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | PO3233 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.