Individual
BOLA F HABEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-1186
Mailing address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-1186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
37514
FL
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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