| Osama Shuaib Ismail | |
|
110 E Byrd Ave Bonifay FL 32425-3004 | |
| (850) 547-4799 | |
| Not Available |
| Full Name | Osama Shuaib Ismail |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 E Byrd Ave, Bonifay, Florida |
| Authorized Official Name and Position | Osama Ismail (OWNER) |
| Authorized Official Contact | 8503193361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osama Shuaib Ismail 1496 S Weeks St Bonifay FL 32425-3284 Ph: () - | Osama Shuaib Ismail 110 E Byrd Ave Bonifay FL 32425-3004 Ph: (850) 547-4799 |
| NPI Number | 1356913370 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356913370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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