Individual
DR. ENAS G. ISKANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1688 W GRANADA BLVD STE 2A1, ORMOND BEACH, FL 32174
(386) 425-4466
(386) 425-4461
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME0057495
FL
208000000X
Pediatrics Physician
Primary
ME57495
FL
208D00000X
General Practice Physician
ME7495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054122201
—
FL
01
—
12487
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
01/06/2006
Last updated
07/25/2018
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