OSAMA SHUAIB ISMAIL MD LLC NPI 1912764788

NPI Information

NPI: 1912764788
Provider Name: OSAMA SHUAIB ISMAIL MD LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
110 E BYRD AVE
BONIFAY, FL
ZIP 32425
Phone: (850) 547-2305
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OSAMA SHUAIB ISMAIL MD LLC is a rural health clinic center in Bonifay, FL. OSAMA SHUAIB ISMAIL MD LLC NPI is 1912764788. The provider is registered as an organization entity type.

The provider's business location address is:

110 E BYRD AVE
BONIFAY, FL
ZIP 32425-004
Phone: (850) 547-2305

The provider's authorized official is Osama Shuaib Ismail .
The authorized official title is Owner and has the following contact phone number (850) 319-3361.

The enumeration date for this NPI number is 2/28/2024 and was last updated on 4/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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