Organization
REZEQ BATAINEH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDA BATAINEH (OFFICE MANAGER)
(850) 785-6272
Entity
Organization
Contact information
Practice address
2575 HUNTCLIFF LN, PANAMA CITY, FL 32405-4902
(850) 785-6272
(850) 785-8686
Mailing address
2575 HUNTCLIFF LN, PANAMA CITY, FL 32405-4902
(850) 785-6272
(850) 785-8686
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0070013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609802073
MEDICARE NPI
FL
Enumeration date
01/22/2015
Last updated
01/22/2015
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