Provider Demographics
NPI:1871157842
Name:MOUHYDEEN, HALA (MD, PHARMD)
Entity type:Individual
Prefix:DR
First Name:HALA
Middle Name:
Last Name:MOUHYDEEN
Suffix:
Gender:F
Credentials:MD, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 CLEVELAND CLINIC BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3625
Mailing Address - Country:US
Mailing Address - Phone:954-659-6161
Mailing Address - Fax:954-659-5425
Practice Address - Street 1:2950 CLEVELAND CLINIC BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3625
Practice Address - Country:US
Practice Address - Phone:954-659-6161
Practice Address - Fax:954-659-5425
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2024-05-17
Deactivation Date:2024-03-23
Deactivation Code:
Reactivation Date:2024-04-17
Provider Licenses
StateLicense IDTaxonomies
FLTRN39573207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine