Ahmad Tariq Ismail

LBN: Ahmad Tariq Ismail
Ahmad Tariq Ismail is an health care organization with primary practice located at 110 E Byrd Ave , Bonifay FL 32425-3004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ahmad Tariq Ismail can be contacted via phone (850) 547-4799, or through Curry, Carol L via phone (850) 547-4799.

Contact Information

Primary practice address
110 E Byrd Ave Bonifay FL 32425-3004
Phone: (850) 547-4799
Fax: (850) 547-2305
Website:
Map and Directions
Authorized official contact:
Name: Curry, Carol L
Phone: (850) 547-4799

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME44907 Florida

Profile Details

NPI number 1952697575
LBN Legal business name Ahmad Tariq Ismail
DBA Doing business as
Authorized official Curry, Carol L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952697575 NPPES
Florida MEDICAID 66005600

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