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Organization
OPTIMUM PRIMARY CARE, LLC
Active
Organization
OPTIMUM PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL FARID M.D. (PHYSICIAN)
(201) 757-9526
Entity
Organization
Contact information
Practice address
750 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 215-4540
Mailing address
PO BOX 16528, PANAMA CITY, FL 32406-6528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 99885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280906100
—
FL
01
—
29925
BCBS
FL
Enumeration date
04/20/2009
Last updated
09/17/2009
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