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
Phone: (386) 299-3393
Fax: (386) 257-2119
Website:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1134143233 | NPPES |
Florida | MEDICAID | 2592282 |
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