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NPI Code Detail

MEDICARE: AMR KHALIFA MD

MEDICARE: AMR KHALIFA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME155453FL

General Provider Information

NPI Number : 1336700558
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMR KHALIFA MD
Provider Business Mailing Address
First Line : 60 MEMORIAL MEDICAL PKWY
Second Line :
City : PALM COAST
State : FL
Zip : 32164-5980
Country : US
Telephone Number : 386-586-1580
Fax Number : 386-586-1563
Provider Business Practice Location Address
First Line : 60 MEMORIAL MEDICAL PKWY
Second Line :
City : PALM COAST
State : FL
Zip : 32164-5980
Country : US
Telephone Number : 386-586-1580
Fax Number : 386-586-1563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2019
Last Update Date : 01/12/2026

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Directions to “ AMR KHALIFA MD” Practice Location

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