Individual
MR. BASSAM KASSEM RADWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5340 GULF DR STE 105, NEW PORT RICHEY, FL 34652-3922
(727) 849-0222
(727) 847-7685
Mailing address
5340 GULF DR STE 105, NEW PORT RICHEY, FL 34652-3922
(727) 849-0222
(727) 847-7685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9229372
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9229372
FL
Other
Enumeration date
03/27/2014
Last updated
03/08/2016
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