Basem Batal
Private Vehicle in Clermont, FL. Individual provider (NPI-1).
NPI number1164052304
StatusActive
Last updated in NPPESJan 15, 2020
Details
- NPI
- 1164052304
- Entity type
- Individual (NPI-1)
- Name
- Basem Batal
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2020
- Certification date
- Jan 15, 2020
- Last updated
- Jan 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | B340060643800 | FL | Yes |
Practice location
1527 Pier StClermont, FL 34711-1941
Phone 407-399-0407
Mailing address
1527 Pier StClermont, FL 34711-1941
Phone 407-399-0407
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