Individual
DR. AZZAM A ADHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2195 JENKS AVE, STE B, PANAMA CITY, FL 32405-4551
(850) 784-6696
(850) 785-2100
Mailing address
PO BOX 15909, PANAMA CITY, FL 32406-5909
(850) 784-6696
(850) 785-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME39261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080N
FLORIDA BLUE
FL
05
—
066935100
—
FL
01
—
1518360288
FLORIDA BLUE
FL
Enumeration date
01/10/2006
Last updated
11/15/2022
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