Ahmad Tariq Ismail MD

NPI 1073680245 - Family Medicine - 207Q00000X

NPI Details
NPI 1073680245
Gender Male
Enumeration Date 11/30/2006
Last Updated 01/14/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
110 EAST BYRD AVE
BONIFAY FL, 32425, US
Phone (850) 547-4799
Fax (850) 547-2305
Business Location
110 EAST BYRD AVE
BONIFAY FL, 32425, US
Phone (850) 547-4799
Fax (850) 547-2305
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME44907
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According to our database, Ahmad Tariq Ismail MD NPI is 1073680245, taxonomy code is 207Q00000X and license number is ME44907, license state is located at Florida. Ahmad Tariq Ismail MD physically located at 110 East Byrd Ave, Bonifay FL, 32425. NPI Number Ahmad Tariq Ismail MD has the Individual type.

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1073680245 NPI number is provided on an as is basis without warranty of any kind. 1073680245 is maintained by the National Plan & Provider Enumeration System. The contents of Ahmad Tariq Ismail MD are for informational purposes only.