Individual
MR. AYMAN TAHA ABOULELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 W 23RD N-5, PANAMA CITY, FL 32405
(850) 769-1566
(850) 769-1644
Mailing address
P.O. BOX 15834, PANAMA CITY, FL 32406
(850) 769-1566
(850) 769-1644
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME90177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269881100
—
FL
01
—
44090
BCBS FLORIDA
FL
Enumeration date
03/31/2006
Last updated
05/02/2014
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