Healthcare Provider Details

I. General information

NPI: 1558329458
Provider Name (Legal Business Name): AYMAN A. ABDULMAGID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18167 US HIGHWAY 19 N #650
CLEARWATER FL
33764-3528
US

IV. Provider business mailing address

18167 US HIGHWAY 19 N #650
CLEARWATER FL
33764
US

V. Phone/Fax

Practice location:
  • Phone: 727-507-3600
  • Fax:
Mailing address:
  • Phone: 727-507-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberH23996
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: