Albanna, Issam I

Albanna, Issam I is an sole proprietor health care provider with primary practice located at 3288 Cove Bend Dr , Tampa FL 33613-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Albanna, Issam I can be contacted via phone (813) 979-4435.

Contact Information

Primary practice address
3288 Cove Bend Dr Tampa FL 33613-2752
Phone: (813) 979-4435
Fax: (813) 979-4026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0061731 Florida

Profile Details

NPI number 1023007135
LBN Legal business name Albanna, Issam I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Nov 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023007135 NPPES
Florida MEDICAID 379455500

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