Individual
BASSAM ALTAJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 NURSING HOME DR, ARCADIA, FL 34266-3839
(941) 812-0896
Mailing address
700 8TH AVE W STE 101, PALMETTO, FL 34221-4737
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME83500
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME83500
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME83500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264341300
—
FL
Enumeration date
06/29/2006
Last updated
02/22/2019
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