# MUSTAFA A HAMMAD MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063602258
- **Authorized official:** MR. MUSTAFA HAMMAD M.D. (PRESIDENT)
- **Authorized official phone:** (850) 215-7093

## Contact information

- **Practice address:** 1931 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4704
- **Practice address phone:** (850) 215-7093
- **Practice address fax:** (850) 215-7096
- **Mailing address:** 1931 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4704
- **Mailing address phone:** (850) 215-7093
- **Mailing address fax:** (850) 215-7096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 01/22/2013