AHMAD TARIQ ISMAIL

BONIFAY, FL
NPI1952697575
Entity TypeOrganization
Authorized ContactCAROL L CURRY
Office Manager
850-547-4799
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  me44907)
Enumeration Date2011-06-22
Last Update Date2011-06-22
Business Address
AHMAD TARIQ ISMAIL
110 E BYRD AVE
BONIFAY, FL 32425-3004
Phone number: 850-547-4799
Mailing Address
AHMAD TARIQ ISMAIL
110 E BYRD AVE
BONIFAY, FL 32425-3004
Phone number: 850-547-4799