NPI Code Details Logo

NPI 1174488563

NPI 1174488563 : ASMA BASSAM AMAWI DNP : WINTER PARK, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174488563
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ASMA BASSAM AMAWI DNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/18/2025
-----------------------------------------------------
    Last Update Date     |    12/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4355 BEAR GULLY RD STE 1024 
-----------------------------------------------------
    City                 |    WINTER PARK
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32792-9422
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-647-2550
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    534 PINEBRANCH CIR 
-----------------------------------------------------
    City                 |    WINTER SPRINGS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32708-5634
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    133VN1201X
-----------------------------------------------------
    Taxonomy Name        |    Obesity and Weight Management Nutrition Registered Dietitian
-----------------------------------------------------
    License Number       |    ND4888
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207QA0505X
-----------------------------------------------------
    Taxonomy Name        |    Adult Medicine Physician
-----------------------------------------------------
    License Number       |    APRN11043388
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.