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Individual

MR. MUHAMMAD AMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
402 EAST BYRD AVE, BONIFAY, FL 32425
(850) 547-3679
(850) 547-3524
Mailing address
PO BOX 367, BONIFAY, FL 32425
(850) 547-3679
(850) 547-3524

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME#0033481
FL
208600000X
Surgery Physician
ME33481
FL
208D00000X
General Practice Physician
Primary
ME#0033481
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03573
BLUE CROSS
FL
05
039045300
FL
Enumeration date
08/11/2005
Last updated
07/02/2010
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