Provider Demographics
NPI:1760595623
Name:CITY MEDICAL CENTER INC
Entity Type:Organization
Organization Name:CITY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDELGHANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-913-8991
Mailing Address - Street 1:PO BOX 15728
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32406
Mailing Address - Country:US
Mailing Address - Phone:850-913-8991
Mailing Address - Fax:850-913-7391
Practice Address - Street 1:750 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401
Practice Address - Country:US
Practice Address - Phone:850-913-8991
Practice Address - Fax:850-913-7391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G35313Medicare UPIN
32339AMedicare ID - Type Unspecified