Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AZZAM MUFTAH MD PA
NPI 1346375839
Specialist in Brooksville, FL

Active since February 23, 2007CLIA 10D2310859 · Certificate of Compliance
15205 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 597-7744(352) 597-7797 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azzam Muftah Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZZAM MUFTAH MD PA (NPI 1346375839) is a healthcare organization registered as a specialist in Brooksville, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 10, 2026 and lists Azzam Muftah, Physician, as its authorized official.

NPPES Registry Identity

NPI1346375839
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAZZAM MUFTAH MD PA
Location Address15205 CORTEZ BLVDBrooksville, FL 34613-6072
Mailing Address15205 Cortez BlvdBrooksville, FL 34613-6072 · (352) 597-7744 · Fax (352) 597-7797
Fax(352) 597-7797
Organization SubpartNo
Authorized OfficialAzzam MuftahPhysician · (352) 597-7744
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1346375839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME 68485
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15205 CORTEZ BLVD, Brooksville, FL 34613

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2310859

Azzam Muftah MD PA · Brooksville, FL
Active · expires Sep 10, 2026
CLIA Number10D2310859
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorAzzam Muftah
Laboratory Phone(352) 597-7744
Laboratory LocationAzzam Muftah MD PA15205 Cortez Blvd, Brooksville, FL 34613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
15205 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Practitioner (Family)
15205 CORTEZ BLVD
BROOKSVILLE, FL 34613
Internal Medicine (Gastroenterology)
15205 CORTEZ BLVD
BROOKSVILLE, FL 34613
Internal Medicine (Gastroenterology)
15205 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Anesthetist, Certified Registered
15205 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Anesthetist, Certified Registered
15205 CORTEZ BLVD
BROOKSVILLE, FL 34613
Internal Medicine (Gastroenterology)
15205 CORTEZ BLVD
BROOKSVILLE, FL 34613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azzam Muftah MD PA's NPI number?

The NPI number for Azzam Muftah MD PA is 1346375839. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Azzam Muftah MD PA located?

Azzam Muftah MD PA is located at 15205 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 597-7744.

What is Azzam Muftah MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Azzam Muftah MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2310859) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Azzam Muftah MD PA was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.