Individual provider · Type 1 NPI

Mo'ath Issam Abdellatif Bani Salem, MD

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1932948726 Active · reactivated Mar 20, 2025

Practice location

1600 SW Archer Road
Gainesville, FL 32610

Call (352) 265-0239 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932948726

Mo'ath Issam Abdellatif Bani Salem, MD's National Provider Identifier is 1932948726, issued on May 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Mar 20, 2025.