Provider Demographics
NPI:1326303025
Name:ALMOUSA, AYMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AYMAN
Middle Name:
Last Name:ALMOUSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AYMAN
Other - Middle Name:
Other - Last Name:ALMOUSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3810 NW 5TH TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5747
Mailing Address - Country:US
Mailing Address - Phone:561-297-4845
Mailing Address - Fax:
Practice Address - Street 1:777 GLADES ROAD
Practice Address - Street 2:BC-71
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-297-4845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN22304208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery