Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | ME88499 | FL |
NPI | 1295789444 |
---|---|
Provider Name | Eyad Alsabbagh |
First Address | Spring Hill, FL 34613-5575 |
Second Address | Brooksville, FL 34613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 15/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0126097 | GHI (01) | |
01811 | UNIVERSAL (01) | FL |
286112 | WELLCARE & HEALTHEASE (01) | FL |
294540 | AVMED (01) | |
48130 | BCBS (01) | FL |