Organization
HASHEM MUBARAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN S ALEXANDER (MANAGER)
(850) 769-1766
Entity
Organization
Contact information
Practice address
801 E 6TH ST, SUITE 602, PANAMA CITY, FL 32401-3661
(850) 769-1766
(850) 769-9794
Mailing address
801 E 6TH ST, SUITE 602, PANAMA CITY, FL 32401-3661
(850) 769-1766
(850) 769-9794
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0046828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1186
MEDICARE GROUP BILLING #
FL
Enumeration date
09/07/2007
Last updated
09/07/2007
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