| Organization Name: | MISAL KHAN,M.D. FRCS(ED) P.A. |
| NPI Number: | 1740434521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MISAL KHAN (PRESIDENT) |
| Mailing Address: | 3808 E 3rd St Panama City |
| State: | FL US |
| Postal Code: | 324015671 |
| Phone Number: | 8507859511 |
| Fax Number: | 8507639494 |
| NPI Enumeration Date: | 11/06/2008 |
| NPI Last Update Date: | 11/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME032811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |