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EMMANUEL BASSILY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME157251
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114666800
FL
01
14VJ7
BCBS
FL
Enumeration date
04/08/2015
Last updated
06/05/2024
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