Individual
DR. ADEL A BISHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7276 BROAD ST, BROOKSVILLE, FL 34601-5591
(352) 796-4903
(352) 796-2144
Mailing address
7276 BROAD ST, BROOKSVILLE, FL 34601-5591
(352) 796-4903
(352) 796-2144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0068306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0906922
CLIA
FL
05
—
378763000
—
FL
01
—
BCBS
27394
FL
01
—
ME0068306
MEDICAL LICENSE
FL
Enumeration date
04/04/2006
Last updated
01/19/2017
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