Aboulela, Ayman Taha

Aboulela, Ayman Taha is an sole proprietor health care provider with primary practice located at 109 W 23Rd N-5 , Panama City FL 32405. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Aboulela, Ayman Taha can be contacted via phone (850) 769-1566.

Contact Information

Primary practice address
109 W 23Rd N-5 Panama City FL 32405
Fax: (850) 769-1644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME90177 Florida

Profile Details

NPI number 1659332278
LBN Legal business name Aboulela, Ayman Taha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated May 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659332278 NPPES
Florida Other 44090 BCBS FLORIDA
Florida MEDICAID 269881100 BCBS FLORIDA

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