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Contact Information

MUTAZ B HABAL, MD
205 W DR MARTIN LUTHER KING JR BLVD
SUITE 103
TAMPA, FL33603-3600
 Phone: 813-238-0409
 Fax: 813-238-1119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MUTAZ B HABAL · (Male)

NPI # 1801989017
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 05/15/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME21292
  • FL Other 202540 AMERIGROUP
  • FL Other 68008 BLUE CROSS & BLUE SIHELD
  • FL Other 1247218 CIGNA
  • FL Other 592023224 HUMANA
  • FL Other 01047 STAYWELL-WELLCARE-HEALTHEASE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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