Organization
ADEL A BISHAY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL A BISHAY MD (OWNER)
(352) 796-4903
Entity
Organization
Contact information
Practice address
7276 BROAD ST, BROOKSVILLE, FL 34601-5591
(352) 796-4903
(352) 796-2144
Mailing address
7276 BROAD ST, BROOKSVILLE, FL 34601-5591
(352) 796-4903
(352) 796-2144
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0068306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27394
BCBS
FL
05
—
378736000
—
FL
Enumeration date
05/22/2007
Last updated
01/19/2017
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