Healthcare Provider Details

I. General information

NPI: 1790759652
Provider Name (Legal Business Name): AMIRA AMIN HELAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 03/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 DAVIS BLVD 2ND FLOOR
TAMPA FL
33606-3475
US

IV. Provider business mailing address

PO BOX 917770
ORLANDO FL
32891-7770
US

V. Phone/Fax

Practice location:
  • Phone: 813-259-8700
  • Fax:
Mailing address:
  • Phone: 813-289-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME54908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: