Individual
MUSTAFA A HAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1931 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-5314
(850) 215-7093
(850) 215-7096
Mailing address
1931 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-5314
(850) 215-7093
(850) 215-7096
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
ME93997
FL
2084N0400X
Neurology Physician
ME93997
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
ME93997
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME93997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273534200
—
FL
05
—
273535100
—
FL
01
—
29436
BCBS OF FLORIDA
FL
01
—
P00686249
RAILROAD MEDICARE PALMETTO GBA
FL
Enumeration date
03/23/2006
Last updated
07/28/2016
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