Organization
HOUSE CALL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBINA AZAM MD (OWNER)
(850) 628-9240
Entity
Organization
Contact information
Practice address
625 W BALDWIN RD STE B, PANAMA CITY, FL 32405-3359
(850) 628-9240
(850) 522-5925
Mailing address
625 W BALDWIN RD STE B, PANAMA CITY, FL 32405-3359
(850) 628-9240
(850) 522-5925
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME91470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270961900
—
FL
Enumeration date
12/10/2013
Last updated
12/10/2013
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