MONTHER AL-HALAWANI MD PA NPI 1124336177

NPI Information

MONTHER AL-HALAWANI, MD, PA is a specialist in Brandon, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MONTHER AL-HALAWANI, MD, PA NPI is 1124336177. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Diabetes And Metabolic Disorders.

The provider's business location address is:

502 CORNER DR
BRANDON, FL
ZIP 33511-724
Phone: (813) 643-4722
Fax: (813) 651-3280

The provider's authorized official is Patrinella Sue Johnston .
The authorized official title is Office Manager and has the following contact phone number (813) 643-4722.

The CLIA number assigned to this NPI record is 10D0931979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 8/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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