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Organization
PHOENIX AMERICAN MEDICAL LLC
Active
Organization
PHOENIX AMERICAN MEDICAL LLC
Active
Parent organization
SHIFA HEALTHCARE HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHIFA HEALTHCARE HOLDINGS LLC
Authorized official
DR. AZZAM MUFTAH MD (OWNER)
(352) 277-5348
Entity
Organization
Contact information
Practice address
1030 S 78TH ST, TAMPA, FL 33619-4750
(813) 740-0646
(813) 609-3733
Mailing address
14690 SPRING HILL DR STE 101, SPRING HILL, FL 34609-8102
(352) 428-7817
(352) 797-2491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/13/2023
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