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Individual

DR. HUMAM HUMEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1619 CREIGHTON RD, STE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 434-8144
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700
(850) 444-7497

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD.18092
AL
207RN0300X
Nephrology Physician
Primary
ME75791
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254454700
FL
01
MD.18092
ALABAMA MEDICAL LICENSURE
AL
01
ME75791
FLORIDA MEDICAL LICENSURE
FL
Enumeration date
06/01/2005
Last updated
12/28/2021
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