Bader M Al Enezi in Melbourne - Surgical Assistant

Bader M Al Enezi - NPI 1699847244

Bader M Al Enezi is a Surgical Assistant in Melbourne, Florida. Bader M Al Enezi practices all healthcare services and medical treatments related to Surgical Assistant. The NPI Number for Bader M Al Enezi is 1699847244. The last update date is 2016-09-16.

Bader M Al Enezi's current location address is 1600 Sarno Rd, Melbourne, Florida. You can contact this provider via phone number 8003484565 and fax number 8884686511. The mailing address for Bader M Al Enezi is 1600 Sarno Rd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Bader M Al Enezi
Address 1600 Sarno Rd, Melbourne, Florida
Phone Number 8003484565
Fax Number 8884686511
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1699847244
Provider Enumeration Date 2006-11-15
Last Updated Date 2016-09-16

Provider Mailing Address Detail

Address 1600 Sarno Rd
City Melbourne
State Florida (FL)
Post Code 329354938
Phone Number 8003484565
Fax Number 8884686511

Provider's Primary Taxonomy Detail

Speciality Surgical Assistant
Taxonomy 246Zc0007X
Licence No 4166
Definition:
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4166 CO AMERICAN BOARD OF SURGICAL ASS

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FAQs about Bader M Al Enezi

What is the Bader M Al Enezi's 1699847244?

The Bader M Al Enezi's NPI (National Provider Identifier) Number is 1699847244. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Bader M Al Enezi is located?

The Bader M Al Enezi is situated at the following address: 1600 Sarno Rd, Melbourne, FL, 329354938.

What is Bader M Al Enezi's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bader M Al Enezi is Surgical Assistant, and the taxonomy code that categorizes this field of expertise is 246Zc0007X.

On what date did the Bader M Al Enezi receive its 1699847244 assignment from the Centers for Medicare & Medicaid Services?

The Bader M Al Enezi was assigned its 1699847244 by the Centers for Medicare & Medicaid Services on 2006-11-15.

When was the information pertaining to Bader M Al Enezi most recently updated or revised?

The details related to Bader M Al Enezi, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-16.

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