| Organization Name: | REZEQ BATAINEH MD |
| NPI Number: | 1013306414 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDA BATAINEH (OFFICE MANAGER) |
| Mailing Address: | 2575 Huntcliff Ln Panama City |
| State: | FL US |
| Postal Code: | 324054902 |
| Phone Number: | 8507856272 |
| Fax Number: | 8507858686 |
| NPI Enumeration Date: | 01/22/2015 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME0070013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |