Basic Information
Provider Information
NPI: 1235672585
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALHUMAID
FirstName: SULAIMAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 184 NE 168TH ST
Address2:  
City: NORTH MIAMI BEACH
State: FL
PostalCode: 331623412
CountryCode: US
TelephoneNumber: 3056550411
FaxNumber: 3056550499
Practice Location
Address1: 184 NE 168TH ST
Address2:  
City: NORTH MIAMI BEACH
State: FL
PostalCode: 331623412
CountryCode: US
TelephoneNumber: 3056550411
FaxNumber: 3056550499
Other Information
ProviderEnumerationDate: 11/18/2016
LastUpdateDate: 03/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000XMFC1768FLN Allopathic & Osteopathic PhysiciansOphthalmology 
207WX0107XME133059FLY    

No ID Information.


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