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Organization

OSAMA SHUAIB ISMAIL

Active
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Organization

OSAMA SHUAIB ISMAIL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OSAMA ISMAIL MD (OWNER)
(850) 319-3361
Entity
Organization

Contact information

Practice address
110 E BYRD AVE, BONIFAY, FL 32425-3004
(850) 547-4799
Mailing address
1496 S WEEKS ST, BONIFAY, FL 32425-3284

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
07/12/2021
Last updated
02/28/2024
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