Osama Shuaib Ismail MD LLC

NPI #1912764788 in Bonifay, Florida

Provider Information

NPI Number: 1912764788
Entity Type: Organization
Organization Name: Osama Shuaib Ismail MD LLC
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Feb 28, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 110 E BYRD AVE
City: Bonifay
State: Florida
ZIP Code: 32425-3004
Phone: (850) 547-2305

Authorized Official

Name: OSAMA SHUAIB ISMAIL
Title: OWNER
Phone: (850) 319-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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