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SAMIR M. EBEID NPI 1932477023


NPI Information

NPI: 1932477023
Provider Name: SAMIR M. EBEID
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2202 STATE AVE STE 302
PANAMA CITY, FL
ZIP 32405
Phone: (850) 785-0321
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SAMIR M. EBEID is a pediatrics in Panama City, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SAMIR M. EBEID NPI is 1932477023. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2202 STATE AVE STE 302
PANAMA CITY, FL
ZIP 32405
Phone: (850) 785-0321
Fax: (850) 784-9955

The provider's authorized official is Samir Masan Ebeid .
The authorized official title is President and has the following contact phone number (850) 785-0321.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 12/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyME0046120FLORIDANo
2208000000XPediatricsME0046120FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1040815800MEDICAIDFLORIDA

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: 11/14/2023

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