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Organization
OSAMA ELSHAZLY MD PA
Active
Organization
OSAMA ELSHAZLY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSAMA A ELSHAZLY M.D. (PRESIDENT)
(850) 785-0085
Entity
Organization
Contact information
Practice address
2202 STATE AVE, SUITE 102, PANAMA CITY, FL 32405-7601
(850) 785-0085
(850) 785-0558
Mailing address
2202 STATE AVE, SUITE 102, PANAMA CITY, FL 32405-7601
(850) 785-0085
(850) 785-0558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71008
FL
Other
Enumeration date
08/31/2006
Last updated
06/24/2008
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