Individual
BASSAM AMAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 W STATE ROAD 434, LONGWOOD, FL 32750-5187
(386) 299-3393
(386) 257-2119
Mailing address
450 W STATE ROAD 434, LONGWOOD, FL 32750-5187
(386) 299-3393
(386) 257-2119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME50613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2592282
—
FL
Enumeration date
07/26/2006
Last updated
02/28/2011
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