Organization
OSAMA SHUAIB ISMAIL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA SHUAIB ISMAIL (OWNER)
(850) 319-3361
Entity
Organization
Contact information
Practice address
110 E BYRD AVE, BONIFAY, FL 32425-3004
(850) 547-2305
Mailing address
110 E BYRD AVE, BONIFAY, FL 32425-3004
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
04/24/2024
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