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NPI Code Detail

MEDICARE: MUHANAD YOUSEF SAADA L.M.T.C.T. P.H.D.

MEDICARE: MUHANAD YOUSEF SAADA L.M.T.C.T. P.H.D.
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
1225700000XMassage TherapistMM007956FL

General Provider Information

NPI Number : 1497871222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUHANAD YOUSEF SAADA L.M.T.C.T. P.H.D.
Provider Business Mailing Address
First Line : 728 W 23RD ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3923
Country : US
Telephone Number : 850-784-9001
Fax Number : 850-784-1910
Provider Business Practice Location Address
First Line : 728 W 23RD ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3923
Country : US
Telephone Number : 850-784-9001
Fax Number : 850-784-1910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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