NPI 1720628704

Hisham Haddad

Practitioner Independent Duty Medical Technicians Duke Field, FL

Practice location

Address: 3158 Primebeef Way, Duke Field, FL 32542
Phone: (850) 883-8162

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1720628704
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2020
Record last updated: 13 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.