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JACKSONVILLE, FL 322225848
ATLANTA, GA 303746638
Individual Provider
OUSAMA ABOUSHAAR, MD
NPI 1629574843
Active
Family Medicine
Quick Facts
NPI Number
1629574843
Type
Individual (NPI-1)
Credential
MD
Status
Active
Enumeration Date
2018-04-05
Last Updated (NPPES)
2022-12-01
Primary Specialty / Taxonomy
| Taxonomy | Family Medicine |
| Taxonomy Code | 207Q00000X |
| License | ME151339 FL |
Practice Address
8355 MERCHANTS GATE DRJACKSONVILLE, FL 322225848
Phone: 904-771-2900
Fax: 904-390-7442
Mailing Address
PO BOX 746638ATLANTA, GA 303746638
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.