AZZAM MUFTAH MD PA (NPI# 1346375839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346375839 |
| Entity Type | Organization |
| Organization Name | AZZAM MUFTAH MD PA |
| Practice Address |
12900 Cortez Blvd Suite 203 Brooksville FL 34613-4898 |
| Practice Telephone | 3525977744 |
| Practice Fax Number | 3525977797 |
| Mailing Telephone | 3525977744 |
| Mailing Fax Number | 3525977797 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | AZZAM MUFTAH (PHYSICIAN) |
| Authorized Official Telephone | 3525977744 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 68485 | FL | Other Service Providers |
| Street Address |
12900 CORTEZ BLVD SUITE 203 |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-4898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080629 | Hernando Medical Inc | Internal Medicine | 12900 Cortez Blvd, Ste 202, Brooksville, FL 34613 | 2006-02-07 |
| 1285055442 | Ocala Oncology Center Pl | Pathology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613-6828 | 2013-12-13 |
| 1154762177 | Paradigm Dental | Dentist | 12900 Cortez Blvd, Ste 201, Brooksville, FL 34613 | 2013-07-08 |
| 1912262601 | Thelma Teresa Nelson | Nurse Practitioner | 12900 Cortez Blvd, Suite 203, Brooksville, FL 34613-6828 | 2012-07-09 |
| 1962777664 | Jay N Rayan, Md | Legal Medicine | 12900 Cortez Blvd, Brooksville, FL 34613-6828 | 2012-03-13 |
| 1114235389 | Hernando Skin & Cancer Center P.a. | Dermatology | 12900 Cortez Blvd, Suite 205, Brooksville, FL 34613-6828 | 2010-09-21 |
| 1548589930 | Scott Michael Edwards | Physician Assistant | 12900 Cortez Blvd, Suite 205, Brooksville, FL 34613-6828 | 2010-05-25 |
| 1235383647 | Tabitha E Muchler | Nurse Practitioner | 12900 Cortez Blvd, Suite 203, Brooksville, FL 34613-6828 | 2008-11-12 |
| 1114149481 | M. Nazir Hamoui Md | Urology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613 | 2007-05-03 |
| 1124049457 | M Nazir Hamoui | Urology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613-6828 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728955 | Abdelnasser Elmansoury Md, Pa | Specialist | 17222 Hospital Blvd Ste 238, Brooksville, FL 34601-8925 | 2017-02-08 |
| 1083633606 | Leonard Baily Orban | Specialist | 14540 Cortez Blvd Ste 108, Brooksville, FL 34613-6001 | 2006-07-18 |
| 1205899739 | Richard W Springstead | Specialist | 33 Ponce De Leon Blvd, Brooksville, FL 34601-3217 | 2006-04-07 |
| 1225099583 | Gary C Mccarragher | Specialist | 12190 Cortez Blvd, Brooksville, FL 34613-5578 | 2006-03-28 |
| 1316926421 | Thomas Mathews | Specialist | 14533 Cortez Blvd, Brooksville, FL 34613-6065 | 2006-01-17 |
| 1801344718 | Harry Haydon Hill Md Pa | Specialist | 12440 Cortez Blvd, Brooksville, FL 34613-2628 | 2016-09-20 |
| 1952672115 | Luz Mary Hedrick | Specialist | 12170 Cortez Blvd, Brooksville, FL 34613-5578 | 2012-01-19 |
| 1477855385 | Husam E. Shuayb Md Pa | Specialist | 11373 Cortez Blvd, Suite 306, Brooksville, FL 34613-5411 | 2010-11-29 |
| 1871724609 | Anesthesia Associates of Hernando LLC | Specialist | 12190 Cortez Blvd, Brooksville, FL 34613-5578 | 2009-07-28 |
| 1538329933 | Hernando Neurosurgery Pllc | Specialist | 17222 Hospital Blvd, #350, Brooksville, FL 34601-8925 | 2008-06-10 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.