Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MR36616 | FL |
Y | 2084N0400X | Neurologist | ME36616 | FL |
NPI | 1659331767 |
---|---|
Provider Name | Kamel Elzawahry |
First Address | Panama City, FL 32405-7601 |
Second Address | Panama City, FL 32405-4545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039509900 | (05) | FL |
F10327 | (02) | FL |