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Organization

NABIL BARSOUM MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NABIL A BARSOUM MD (PRESIDENT)
(954) 426-9600
Entity
Organization

Contact information

Practice address
100 S MILITARY TRAIL, SUITE 10, DEERFIELD BEACH, FL 33442
(954) 426-9600
(954) 426-2257
Mailing address
100 S MILITARY TRAIL, SUITE 10, DEERFIELD BEACH, FL 33442
(954) 426-9600
(954) 426-2257

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
0047714
FL
208VP0000X
Pain Medicine Physician
0047714
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
0047714
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048800399
FL
Enumeration date
01/10/2007
Last updated
09/09/2016
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