Moncef Baazaoui

Primary specialty

DriverTaxonomy code 172A00000X

License

H250259773630 Issued in FL

Practice address

36512 Garden Wall Way
Zephyrhills, FL 33541
Zephyrhills, FL 33541

Phone

(813) 357-4489

Fax

(813) 797-9201

NPI assigned

Feb 20, 2024

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1013772854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36512 GARDEN WALL WAY",
            "address_2": "ZEPHYRHILLS, FL 33541",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33541",
            "telephone_number": "813-357-4489",
            "fax_number": "813-797-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36512 GARDEN WALL WAY",
            "address_2": "ZEPHYRHILLS, FL 33541",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33541",
            "telephone_number": "813-357-4489",
            "fax_number": "813-797-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAZAOUI",
        "first_name": "MONCEF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "B200541684090",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "H250259773630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duha Jamal Awad, RPH
• Ayesha Lutfi Awwad, MS, CF/SLP
• Noura Ayoubi, MD
• B & T Rehab LLC
• B S Bedi MD PA (Family Walk in Clinic)
• Melissa Marie Bahamonde, PHD
• Melissa C Bailey, PA-C
• Oni Kamaria Baines Pitchford
• Gregory Dean Baisden, ARNP
• Shauntae Alicia Baker, ARNP

• Driver in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.