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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 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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