Healthcare Provider Details

I. General information

NPI: 1760885990
Provider Name (Legal Business Name): HIND OBID, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 10/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 W 23RD ST
PANAMA CITY FL
32405-3928
US

IV. Provider business mailing address

951 W 23RD STREET
PANAMA CITY FL
32405
US

V. Phone/Fax

Practice location:
  • Phone: 850-785-0699
  • Fax: 850-872-9899
Mailing address:
  • Phone: 850-785-0699
  • Fax: 850-872-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HIND OBID
Title or Position: OWNER/MEDICAL DOCTOR
Credential: M.D.
Phone: 850-785-0699