Mariam Khamis

NPI 1881394781 · on the registry since 2023 · sole proprietor

Practice

Address: 113 Lielmanis Ave
Hurlburt Field, FL 32544
Phone: (765) 969-2537
Organisation at this address: Hurlburt Main Phcy
1st Spcl Ops Medgrp-Hurlburt
1st Spcl Ops Medgrp-Hurlburt
Hurlburt Call-In Refills Phcy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 190

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 390200000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida