Ebeid, Samir Hasan
Ebeid, Samir Hasan is an sole proprietor health care provider with primary practice located at 2202 State Ave Suite 302, Panama City FL 32405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Ebeid, Samir Hasan can be contacted via phone (850) 785-0321.Contact Information
Primary practice address
2202 State Ave Suite 302
Panama City FL 32405
Phone: (850) 785-0321
Fax: (850) 784-9955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0046120 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ME0046120 | Florida |
Profile Details
| NPI number | 1871695429 |
|---|---|
| LBN Legal business name | Ebeid, Samir Hasan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Jul 16th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871695429 | NPPES |
| Florida | MEDICAID | 040815800 | |
| Florida | Other | 03625 |
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