Organization
BAY PC PRIME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED KASSEM M.D. (PRESIDENT)
(850) 872-0332
Entity
Organization
Contact information
Practice address
210 FOREST PARK CIR, PANAMA CITY, FL 32405-4915
(850) 872-0332
(850) 769-7717
Mailing address
PO BOX 922, PANAMA CITY, FL 32402-0922
(850) 872-0332
(850) 769-7717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME91546
FL
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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