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Individual

DR. NAJI KAMAL BADDOURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
14434 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 971-1010
(813) 632-8670
Mailing address
14434 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 971-1010
(813) 632-8670

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME72028
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME72028
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1300076
UNITED HEALTHCARE
FL
01
1738245
FIRST HEALTH
FL
05
2572044014
FL
01
265200
AVMED
FL
01
27567
WELLCARE
FL
01
32724
BC/BS
FL
01
7698018
AETNA
FL
01
8759380
CIGNA
FL
Enumeration date
06/27/2006
Last updated
02/25/2011
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