Provider Demographics
NPI:1962269365
Name:AHMED KATOOT
Entity type:Organization
Organization Name:AHMED KATOOT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:KATOOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-913-1500
Mailing Address - Street 1:217 E 23RD ST STE E
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4556
Mailing Address - Country:US
Mailing Address - Phone:850-913-1500
Mailing Address - Fax:
Practice Address - Street 1:12671 EMERALD COAST PKWY W UNIT 217-3
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-8319
Practice Address - Country:US
Practice Address - Phone:850-913-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AHMED M KATOOT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health