Provider Demographics
NPI:1265834857
Name:MARWAN OBID, M.D.
Entity Type:Organization
Organization Name:MARWAN OBID, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OBID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-785-0699
Mailing Address - Street 1:951 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-3928
Mailing Address - Country:US
Mailing Address - Phone:850-785-0699
Mailing Address - Fax:850-872-9899
Practice Address - Street 1:951 W 23RD ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3928
Practice Address - Country:US
Practice Address - Phone:850-785-0699
Practice Address - Fax:850-872-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty