Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | ME105061 | FL |
NPI | 1023058732 |
---|---|
Provider Name | Dr. Ziad W Ghamra |
First Address | Sarasota, FL 34239-2943 |
Second Address | Sarasota, FL 34239-2913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 21/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001308200 | (05) | FL |