Amawi, Bassam

Amawi, Bassam is an sole proprietor health care provider with primary practice located at 450 W State Road 434 , Longwood FL 32750-5187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Amawi, Bassam can be contacted via phone (386) 299-3393.

Contact Information

Primary practice address
450 W State Road 434 Longwood FL 32750-5187
Fax: (386) 257-2119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME50613 Florida

Profile Details

NPI number 1134143233
LBN Legal business name Amawi, Bassam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Feb 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134143233 NPPES
Florida MEDICAID 2592282

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