Provider Demographics
NPI:1710972468
Name:KARROUM, NABIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:
Last Name:KARROUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10111 W FOREST HILL BLVD
Mailing Address - Street 2:SUITE 369
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6108
Mailing Address - Country:US
Mailing Address - Phone:561-204-2771
Mailing Address - Fax:561-204-2721
Practice Address - Street 1:10111 W FOREST HILL BLVD
Practice Address - Street 2:SUITE 369
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-790-6414
Practice Address - Fax:561-204-2721
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00596232084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF41363Medicare UPIN