MR. AYMAN TAHA ABOULELA (NPI# 1659332278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659332278 |
| Entity Type | Individual |
| Full Name | MR. AYMAN TAHA ABOULELA |
| Credential | M.D. |
| Practice Address |
109 W 23rd N-5 Panama City FL 32405 |
| Mailing Address |
P.o. Box 15834 Panama City FL 32406 |
| Practice Telephone | 8507691566 |
| Practice Fax Number | 8507691644 |
| Mailing Telephone | 8507691566 |
| Mailing Fax Number | 8507691644 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME90177 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269881100 | 05 | |
| FL | BCBS FLORIDA | 44090 | 01 |
| Street Address |
109 W 23RD N-5 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942724950 | Fl Medical Group | General Practice | 1017 Harrison Ave, Panama City, FL 32401-2428 | 2017-08-01 |
| 1346631090 | Bruce George Mcdonald | General Practice | 913 Mckenzie Ave, Panama City, FL 32401-2955 | 2015-02-16 |
| 1124156468 | Nimae N. Awantang | General Practice | 625 W. Baldwin Rd Ste C., Panama City, FL 32405 | 2007-02-28 |
| 1295811537 | Tim M Smith | General Practice | 100 Doctors Drive, Panama City, FL 32405 | 2006-10-30 |
| 1912968512 | Steven L Mullis | General Practice | 114 Airport Rd, Panama City, FL 32405-4605 | 2006-03-31 |
| 1578539805 | Timothy G Moriarty | General Practice | 221 E 23rd St, Suite B, Panama City, FL 32405-7612 | 2006-02-27 |
| 1487627782 | Maricel Tejeda-oyola | General Practice | 2309 E 15th St, Panama City, FL 32405-6345 | 2006-02-08 |
| 1154780351 | Arman Healthcare, LLC | General Practice | 201 Forest Park Cir, Panama City, FL 32405-4916 | 2016-02-16 |
| 1184001570 | Waterside Medical Services, Inc. | General Practice | 3210 Highway 77, Panama City, FL 32405-5022 | 2015-05-05 |
| 1295112332 | Andrew Syski | General Practice | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2015-04-28 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on MR. AYMAN TAHA ABOULELA.
| 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.