IndividualActive
Abdul Mounnem Yassin Kassab, MD
NPI 1508608613 · Neurological Surgery Physician · Lakeland, FL
Provider details
- NPI number
- 1508608613
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME175216 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1325 Lakeland Blvd
Lakeland, FL 33805-4544
Phone: (813) 821-8038
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 917770
Orlando, FL 32891-0001
Additional practice locations (1)
- 9200 W Wisconsin AveWauwatosa, WI 53226-3522Phone: (414) 805-8710Fax: (414) 955-0115
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2025-12-07
- Certified
- 2025-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.