Organization
MOHAMMAD RIAZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANN JOHNSON (BILLING MANAGER)
(863) 763-4011
Entity
Organization
Contact information
Practice address
204 NE 19TH DR, OKEECHOBEE, FL 34972-1932
(863) 763-4011
(863) 467-1156
Mailing address
204 NE 19TH DR, OKEECHOBEE, FL 34972-1932
(863) 763-4011
(863) 467-1156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME43238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060054371
MEDICARE RAILROAD
FL
05
—
068559300
—
FL
Enumeration date
10/20/2010
Last updated
10/20/2010
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