Individual
DR. ZIAD M MAMISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5149 N 9TH AVE, G32, PENSACOLA, FL 32504-8756
(850) 416-6450
(850) 416-6783
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME62780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377197800
—
FL
Enumeration date
05/22/2006
Last updated
06/29/2010
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