M HUSSAM ALAYOUBI MD PA
Osteopathic Medicine at Colonial Dr, Pompano Beach, FL

License number
Florida ME 70945
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: DR. MUHAMMED HUSSAM ALAYOUBI M.D, P.A
Title: OWNER
Phone: (954) 590-2660
Address
Address
5901 Colonial Dr SUITE 208, Pompano Beach, FL 33063
National Provider ID: 1801151071
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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M. HUSSAM ALAYOUBI, M.D., PA

Pompano Beach, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Sep 24, 1997
Inactive since:
Oct 13, 2012
Addresses:
5901 Colonial Dr 208, Pompano Beach, FL 33063 (Physical)
5901 Colonial Dr, Pompano Beach, FL 33063
State ID:
P97000083110
Business type:
Florida Profit Corporation
President, Director:
Muhammed Hmd Alayoubi (President, Director), 5901 Colonial Dr, Pompano Beach, FL 33063 (Physical)
Agent:
Muhammed Alayoubi,5901 Colonial Dr #208, Pompano Beach, FL 33063 (Physical)
EIN:
65-0784628

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