Provider Demographics
NPI:1689037962
Name:EZALDEIN, HARIB H (MD)
Entity type:Individual
Prefix:
First Name:HARIB
Middle Name:H
Last Name:EZALDEIN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4770 BISCAYNE BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3232
Mailing Address - Country:US
Mailing Address - Phone:305-404-3376
Mailing Address - Fax:305-404-6367
Practice Address - Street 1:4770 BISCAYNE BLVD STE 900
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3232
Practice Address - Country:US
Practice Address - Phone:305-404-3376
Practice Address - Fax:305-404-6367
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2025-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2023-03031207ND0101X
FLME148896207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty