Individual
DR. AHMAD OUSSAMA RIFAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 769-1511
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78033
FL
207RN0300X
Nephrology Physician
ME78033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256548000
—
FL
01
—
390006271
RRB PTAN
—
Enumeration date
06/22/2005
Last updated
07/15/2025
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