HISHAM HADDAD
NPI 1720628704
Military Health Care Provider - Independent Duty Medical Technicians in Duke Field, FL

Active since January 08, 2020
3158 PRIMEBEEF WAY, DUKE FIELD, FL 32542(850) 883-8162 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Jan 8, 2020 (2 updates tracked since 2020).

About Hisham Haddad NPPES

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

HISHAM HADDAD (NPI 1720628704) is an individual independent duty medical technicians provider in Duke Field, Florida and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1720628704
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameHISHAM HADDAD
Location Address3158 PRIMEBEEF WAYDuke Field, FL 32542
Mailing Address3158 Primebeef WayDuke Field, FL 32542
Sole ProprietorNo
Enumeration DateJanuary 8, 2020
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1720628704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
3158 PRIMEBEEF WAY, Duke Field, FL 32542

Other Identifiers 1

Other29005393TX · Military

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 Hisham Haddad's NPI number?

The NPI number for Hisham Haddad is 1720628704. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Hisham Haddad located?

Hisham Haddad practices at 3158 Primebeef Way, Duke Field, FL 32542. The listed phone number is (850) 883-8162.

What is Hisham Haddad's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Hisham Haddad was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.