Organization
A O RIFAI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD OUSSAMA RIFAI M.D. (PRESIDENT)
(850) 215-5911
Entity
Organization
Contact information
Practice address
2507 HARRISON AVE, SUITE 101, PANAMA CITY, FL 32405-4424
(850) 215-5911
(850) 914-3004
Mailing address
PO BOX 1750, LYNN HAVEN, FL 32444-5950
(850) 215-5911
(850) 914-3004
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME78033
FL
Other
Enumeration date
12/15/2008
Last updated
01/04/2010
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