Mariam M. Habib, D.d.s., L.l.c. | |
801 Paul St Orlando FL 32808-7544 | |
(407) 290-0367 | |
Not Available |
Full Name | Mariam M. Habib, D.d.s., L.l.c. |
---|---|
Speciality | Dentist |
Location | 801 Paul St, Orlando, Florida |
Authorized Official Name and Position | Mariam Habib (OWNER) |
Authorized Official Contact | 4072900367 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mariam M. Habib, D.d.s., L.l.c. 801 Paul St Orlando FL 32808-7544 Ph: (407) 290-0367 | Mariam M. Habib, D.d.s., L.l.c. 801 Paul St Orlando FL 32808-7544 Ph: (407) 290-0367 |
NPI Number | 1528414588 |
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Provider Enumeration Date | 05/09/2016 |
Last Update Date | 05/09/2016 |
Medicare PECOS PAC ID | 1557739125 |
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Medicare Enrollment ID | O20221202000014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528414588 | NPI | - | NPPES |
015110700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN20984 (Florida) | Primary |
Provider Name | Mariam Habib |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1851706485 PECOS PAC ID: 2466820030 Enrollment ID: I20221202000015 |
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