Hissam A Zeidan in Melbourne - Physician Assistant
Hissam A Zeidan - NPI 1114967700
Hissam A Zeidan is a Physician Assistant in Melbourne, Florida. Hissam A Zeidan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Hissam A Zeidan is 1114967700. The last update date is 2007-07-08.
Hissam A Zeidan's current location address is 736 Autumn Glen Dr, Melbourne, Florida. You can contact this provider via phone number 3216373788. The mailing address for Hissam A Zeidan is 736 Autumn Glen Dr, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hissam A Zeidan |
|---|---|
| Address | 736 Autumn Glen Dr, Melbourne, Florida |
| Phone Number | 3216373788 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114967700 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 736 Autumn Glen Dr |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329406421 |
| Phone Number | 3216373788 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA3302 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA3302 | FL | LICENSE |
Post Comment/ Review Below
What is the Hissam A Zeidan's 1114967700?
The Hissam A Zeidan's NPI (National Provider Identifier) Number is 1114967700. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Hissam A Zeidan?
The Hissam A Zeidan is physically situated at 736 Autumn Glen Dr, in the city of Melbourne, state of FL, with the postal code 329406421.
When was the Hissam A Zeidan's 1114967700 issued?
The Hissam A Zeidan's 1114967700 was issued on 2006-06-08.
On what date did the Centers for Medicare & Medicaid Services issue the 1114967700 to Hissam A Zeidan?
The Hissam A Zeidan received its 1114967700 assignment from the Centers for Medicare & Medicaid Services on 2006-06-08.
When was the information pertaining to Hissam A Zeidan most recently updated or revised?
The details related to Hissam A Zeidan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.