# PHYSICIAN PARTNERS NETWORK PA

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

## Provider details

- **NPI number:** 1386715480
- **Authorized official:** HUSAM ABUZARAD MD (OWNER)
- **Authorized official phone:** (352) 596-4657

## Contact information

- **Practice address:** 11373 CORTEZ BLVD, SUITE 304, BROOKSVILLE, FL 34613-5414
- **Practice address phone:** (352) 597-8994
- **Practice address fax:** (352) 597-8901
- **Mailing address:** 11373 CORTEZ BLVD, SUITE 304, BROOKSVILLE, FL 34613-5414
- **Mailing address phone:** (352) 597-8994
- **Mailing address fax:** (352) 597-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | FL | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/11/2006
- **Last updated:** 01/03/2012
