Muftah, Azzam

Muftah, Azzam is an individual health care provider with primary practice located at 15205 Cortez Blvd , Brooksville FL 34613-6072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Muftah, Azzam can be contacted via phone (352) 597-7744.

Contact Information

Primary practice address
15205 Cortez Blvd Brooksville FL 34613-6072
Phone: (352) 597-7744
Fax: (352) 597-7797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME68485 Florida

Profile Details

NPI number 1417918988
LBN Legal business name Muftah, Azzam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 1st, 2023 - about 2 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 1417918988 NPPES
Florida Other 16328 WELLCARE
Florida Other 219941 WELLCARE
Florida Other 28978 WELLCARE
Florida Other 6013192 WELLCARE
Florida Other 100014202 WELLCARE
Florida MEDICAID 250149000 WELLCARE
Florida Other 5825117 WELLCARE
Florida Other 593570847 WELLCARE

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