Individual
DR. ISSAM AFIF HALABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
436 NOKOMIS AVE S, VENICE, FL 34285-2617
(941) 445-5054
(941) 303-6796
Mailing address
436 NOKOMIS AVE S, VENICE, FL 34285-2617
(941) 445-5054
(941) 303-6796
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME83954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00778
BLUE CROSS BLUE SHIELD GROUP
FL
01
—
08597
BCBS
FL
01
—
12604
UNIVERSAL HEALTH CARE
FL
01
—
2419854
CIGNA
FL
01
—
303424
UNITED HEALTH CARE MPIN
FL
01
—
59-1362995
GROUP TAX ID #
FL
01
—
P00303804
RAILROAD MEDICARE
FL
Enumeration date
11/20/2006
Last updated
03/14/2022
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