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Noor Bashar Albashir, PA-C

Physician Assistant in Fort Walton Beach, FL. Individual provider (NPI-1).

NPI number1780247130
StatusActive
Last updated in NPPESMay 19, 2022

Details

NPI
1780247130
Entity type
Individual (NPI-1)
Name
Noor Bashar Albashir
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 20, 2019
Certification date
May 19, 2022
Last updated
May 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9113300FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

345 Miracle Strip Pkwy Sw
Fort Walton Beach, FL 32548-5210

Phone 850-244-3211 · Fax 850-243-1992

Mailing address

345 Miracle Strip Pkwy Sw
Fort Walton Beach, FL 32548-5210

Phone 850-244-3211 · Fax 850-243-1992

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