Ahmad Tariq Ismail

NPI #1952697575 in Bonifay, Florida

Provider Information

NPI Number: 1952697575
Entity Type: Organization
Organization Name: Ahmad Tariq Ismail
Primary Specialty: Family Medicine
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 110 E BYRD AVE
City: Bonifay
State: Florida
ZIP Code: 32425-3004
Phone: (850) 547-4799

Authorized Official

Name: MISS CAROL L CURRY
Title: OFFICE MANAGER
Phone: (850) 547-4799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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