Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 26351 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | ME119999 | FL |
Y | 207RI0011X | Interventional Cardiology | ME119999 | FL |
NPI | 1083608087 |
---|---|
Provider Name | Issam Al-Bitar |
First Address | Pensacola, FL 32513-2699 |
Second Address | Pensacola, FL 32504-8721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 10/07/2017 |