| Adel A Bishay Md Pa | |
|
7276 Broad St Brooksville FL 34601-5591 | |
| (352) 796-4903 | |
| (352) 796-2144 |
| Full Name | Adel A Bishay Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 7276 Broad St, Brooksville, Florida |
| Authorized Official Name and Position | Adel A Bishay (OWNER) |
| Authorized Official Contact | 3527964903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adel A Bishay Md Pa 7276 Broad St Brooksville FL 34601-5591 Ph: (352) 796-4903 | Adel A Bishay Md Pa 7276 Broad St Brooksville FL 34601-5591 Ph: (352) 796-4903 |
| NPI Number | 1942419379 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 7810097789 |
|---|---|
| Medicare Enrollment ID | O20070706000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942419379 | NPI | - | NPPES |
| 378736000 | Medicaid | FL | |
| 27394 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0068306 (Florida) | Primary |
| Provider Name | Adel A Bishay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841252053 PECOS PAC ID: 0648370510 Enrollment ID: I20070706000053 |
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