OrganizationMamoon Jarrah Md Pa(M. Jarrah Md Pa)SpecialistOther Service ProvidersPractice Address2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5317(941) 613-3773PECOS EnrollmentBased on the most recent information from CMS, provider Mamoon Jarrah Md Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 1:10 PM.Profile DetailsProvider ID1487834263Provider TypeOrganizationFull NameMamoon Jarrah Md PaOther NameM. Jarrah Md PaSubpartNoEnumeration Date11/8/2007Last Updated4/29/2013Contact InformationPractice LocationPractice Address2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5317Phone(941) 613-3773Fax(941) 629-6770Mailing LocationMailing Address2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5317Phone(941) 613-3773Fax(941) 629-6770Authorized OfficialNameSmith, Kristy (Office Manager)Phone(941) 613-3773Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseME0040565Florida