Individual
MOHAMMAD IZHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 HARTMAN RD STE 1, FORT PIERCE, FL 34947-4413
(724) 651-1707
(772) 465-1171
Mailing address
2000 HARTMAN RD STE 1, FORT PIERCE, FL 34947-4413
(724) 651-1707
(772) 465-1171
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME122816
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN12977
FL
Other
Enumeration date
10/01/2008
Last updated
03/07/2023
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