Organization
AZZAM ADHAL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZZAM ADHAL MD (OWNER)
(850) 784-6696
Entity
Organization
Contact information
Practice address
2195 JENKS AVE STE B, PANAMA CITY, FL 32405-4683
(850) 784-6696
(850) 785-2100
Mailing address
PO BOX 15909, PANAMA CITY, FL 32406-5909
(850) 784-6696
(850) 785-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME39621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295714129
INDIVIDUAL NPI
FL
Enumeration date
10/08/2014
Last updated
11/15/2022
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