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Organization
PHYSICIAN PARTNERS NETWORK PA
Active
Organization
PHYSICIAN PARTNERS NETWORK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM ABUZARAD MD (OWNER)
(352) 596-4657
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 304, BROOKSVILLE, FL 34613-5414
(352) 597-8994
(352) 597-8901
Mailing address
11373 CORTEZ BLVD, SUITE 304, BROOKSVILLE, FL 34613-5414
(352) 597-8994
(352) 597-8901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
FL
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/11/2006
Last updated
01/03/2012
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