Organization
FUTURE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED ABOBAKER MOHAMED M.D. (PRESIDENT)
(850) 767-4777
Entity
Organization
Contact information
Practice address
292 FOREST PARK CIR, PANAMA CITY, FL 32405-4921
(850) 767-4777
Mailing address
PO BOX 1430, LYNN HAVEN, FL 32444-6230
(850) 767-4777
(850) 763-4988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME92242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000261000
—
FL
05
—
272366200
—
FL
Enumeration date
01/28/2009
Last updated
08/31/2015
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