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Individual

MR. SAMIR HASAN EBEID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2202 STATE AVE, SUITE 302, PANAMA CITY, FL 32405
(850) 785-0321
(850) 784-9955
Mailing address
2202 STATE AVE, SUITE 302, PANAMA CITY, FL 32405
(850) 785-0321
(850) 784-9955

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0046120
FL
2080P0202X
Pediatric Cardiology Physician
ME0046120
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03625
BCBS
FL
05
040815800
FL
Enumeration date
09/03/2006
Last updated
07/16/2013
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