| 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 S Itani (OWNER) |
| Authorized Official Contact | 3217955223 |
| 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: (321) 268-8787 | Nabil S. Itani DO PA 875 Century Medical Dr Titusville FL 32796-2142 Ph: (321) 268-8787 |
| NPI Number | 1427247451 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 06/24/2026 |
| Certification Date | 06/24/2026 |
| Medicare PECOS PAC ID | 9032102942 |
|---|---|
| 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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