Individual
HASHEM MUBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
(844) 212-7396
Mailing address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
(844) 212-7396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0046828
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME0046828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03633
BCBS OF FLORIDA
FL
05
—
040043200
—
FL
01
—
110022029
RAILROAD MEDICARE
FL
Enumeration date
07/22/2006
Last updated
02/18/2020
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