Albanna, Issam I
Albanna, Issam I is an sole proprietor health care provider with primary practice located at 3288 Cove Bend Dr , Tampa FL 33613-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Albanna, Issam I can be contacted via phone (813) 979-4435.Contact Information
Primary practice address
3288 Cove Bend Dr
Tampa FL 33613-2752
Phone: (813) 979-4435
Fax: (813) 979-4026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0061731 | Florida |
Profile Details
| NPI number | 1023007135 |
|---|---|
| LBN Legal business name | Albanna, Issam I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Nov 3rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023007135 | NPPES |
| Florida | MEDICAID | 379455500 |
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