Ebeid, Samir Hasan

Ebeid, Samir Hasan is an sole proprietor health care provider with primary practice located at 2202 State Ave Suite 302, Panama City FL 32405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Ebeid, Samir Hasan can be contacted via phone (850) 785-0321.

Contact Information

Primary practice address
2202 State Ave Suite 302 Panama City FL 32405
Fax: (850) 784-9955
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0046120 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME0046120 Florida

Profile Details

NPI number 1871695429
LBN Legal business name Ebeid, Samir Hasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2006
Last updated Jul 16th, 2013 - about 11 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 1871695429 NPPES
Florida MEDICAID 040815800
Florida Other 03625

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