Eldaif, Bassem M
Eldaif, Bassem M is an sole proprietor health care provider with primary practice located at 6032 Farcenda Pl Ste 102 , Melbourne FL 32940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Eldaif, Bassem M can be contacted via phone (321) 215-4799.Contact Information
Primary practice address
6032 Farcenda Pl Ste 102
Melbourne FL 32940
Phone: (321) 215-4799
Fax: (321) 252-4855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME101077 | Florida |
Profile Details
| NPI number | 1881869089 |
|---|---|
| LBN Legal business name | Eldaif, Bassem M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Jul 29th, 2018 - about 6 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 | 1881869089 | NPPES |
| Florida | MEDICAID | 000314200 | |
| Florida | Other | ME101077 |
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