NPI 1255367736

South Mississippi Heart and Vascular Institute PLLC

Organisation Specialist Gulfport, MS

Practice location

Address: 1104 Broad Ave, Gulfport, MS 39501-2414
Phone: (228) 343-4057
Mailing address: PO Box 399, Long Beach, MS 39560-0399

Authorised official

Name: Mohammed I Awaad
Title: Sole Owner
Phone: (228) 343-4057

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 18345 (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1255367736
Entity type: Organization
NPI issued: 25 Jun 2006
Record last updated: 2 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.