Provider Demographics
NPI:1063474195
Name:ALMAKKEE, AMMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMMAR
Middle Name:
Last Name:ALMAKKEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31966
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33420-1966
Mailing Address - Country:US
Mailing Address - Phone:561-908-6299
Mailing Address - Fax:561-208-5810
Practice Address - Street 1:210 JUPITER LAKES BLVD
Practice Address - Street 2:BLDG 3000, SUITE 201
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7191
Practice Address - Country:US
Practice Address - Phone:561-908-6299
Practice Address - Fax:561-208-5810
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88718207R00000X, 207RN0300X, 207RH0005X
AL24142207R00000X, 207RN0300X, 207RH0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000614000Medicaid
AF574AMedicare PIN
FL000614000Medicaid
H46639Medicare UPIN
FL0471260001Medicare NSC