Organization
SAMIR M. EBEID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR MASAN EBEID MD (PRESIDENT)
(850) 785-0321
Entity
Organization
Contact information
Practice address
2202 STATE AVE STE 302, PANAMA CITY, FL 32405
(850) 785-0321
(850) 784-9955
Mailing address
2202 STATE AVE STE 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
05
—
040815800
—
FL
Enumeration date
12/05/2011
Last updated
12/05/2011
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