| M Rodwan Hiba | |
|
12102 Cortez Blvd Brooksville FL 34613-5514 | |
| (352) 597-4000 | |
| (352) 597-0550 |
| Full Name | M Rodwan Hiba |
|---|---|
| Speciality | Internal Medicine |
| Location | 12102 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Muhammed-rodwan Ali Hiba (OWNER/CEO) |
| Authorized Official Contact | 3525974000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Rodwan Hiba 12102 Cortez Blvd Brooksville FL 34613-5514 Ph: (352) 597-4000 | M Rodwan Hiba 12102 Cortez Blvd Brooksville FL 34613-5514 Ph: (352) 597-4000 |
| NPI Number | 1235246240 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 8921042417 |
|---|---|
| Medicare Enrollment ID | O20050615000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235246240 | NPI | - | NPPES |
| 100016261 | Other | RAILROAD MEDICARE | |
| 2987121 | Other | UHC | |
| 360846358 | Other | FIRST HEALTH | |
| 2593473 | Other | GHI | |
| 7130182 | Other | AETNA | |
| 2119601215701 | Other | BEECH ST | |
| 1003105 | Other | HUMANA | |
| 2579162-0 | Medicaid | FL | |
| 49489 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME69833 (Florida) | Primary |
| Provider Name | Muhammed Rodwan A Hiba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194833392 PECOS PAC ID: 3971547464 Enrollment ID: I20050616000131 |
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