Nabil S. Itani Do Pa | |
875 Century Medical Dr Titusville FL 32796-2142 | |
(321) 268-8787 | |
(321) 383-2424 |
Full Name | Nabil S. Itani Do Pa |
---|---|
Speciality | Internal Medicine |
Location | 875 Century Medical Dr, Titusville, Florida |
Authorized Official Name and Position | Nabil Samir Itani (PHYSICIAN) |
Authorized Official Contact | 3212688787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nabil S. Itani Do Pa 875 Century Medical Dr Titusville FL 32796-2142 Ph: () - | Nabil S. Itani Do Pa 875 Century Medical Dr Titusville FL 32796-2142 Ph: (321) 268-8787 |
NPI Number | 1427247451 |
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Provider Enumeration Date | 10/16/2007 |
Last Update Date | 04/16/2008 |
Medicare PECOS PAC ID | 9032102942 |
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Medicare Enrollment ID | O20040406001459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427247451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS9008 (Florida) | Primary |
Provider Name | Nabil S. Itani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912009168 PECOS PAC ID: 3375536287 Enrollment ID: I20040407000650 |
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