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Mamoon Jarrah, MD
Vascular Surgery Physician in Port Charlotte, Florida
NPI 1699719468

Mamoon Jarrah is a Vascular Surgery Physician based in Port Charlotte, FL and is specialized in Vascular Surgery. Mamoon Jarrah practices in Port Charlotte, FL and has the professional credentials of MD. The NPI Number for Mamoon Jarrah is 1699719468 and holds a License No. ME0040565 (Florida).

The current practice location address for Mamoon Jarrah is 2525 Harbor Blvd, Port Charlotte, FL and can be reached out via phone at 941-613-3773 and via fax at 941-629-6770.

Location: 2525 Harbor Blvd, Port Charlotte, FL, 33952-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699719468
Provider Name
Mamoon Jarrah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2525 Harbor Blvd, Port Charlotte, FL, 33952-5317
Phone Number
941-613-3773
Fax Number
941-629-6770
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
770002062 01 FL RR MEDICARE
629729 01 TN BCBS TENNESSEE
066974100 05 FL
08118 01 FL COMMERCIAL
4652614 01 FL AETNA
5744032-004 01 FL CIGNA
629729 01 FL ANTHEM
institution
Provider Business Practice Location Address Details
Address
2525 Harbor Blvd
City
Port Charlotte
State
Florida
Zip
33952-5317
Phone Number
941-613-3773
Fax Number
941-629-6770
person
Provider Business Mailing Address Details
Address
2525 Harbor Blvd
City
Port Charlotte
State
Florida
Zip
33952-5317
Phone Number
941-613-3773
Fax Number
941-629-6770
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME0040565 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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