Provider Demographics
NPI:1508101809
Name:MAWAD, MAURICE R (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:R
Last Name:MAWAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4300 ALTON RD STE 2110
Mailing Address - Street 2:2ND FLOOR, GREENSPAN BUILDING
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2948
Mailing Address - Country:US
Mailing Address - Phone:305-674-2780
Mailing Address - Fax:
Practice Address - Street 1:4300 ALTON RD STE 2110
Practice Address - Street 2:2ND FLOOR, GREENSPAN BUILDING
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-674-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 113099208G00000X
OH82707208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)