Individual
DR. MOHAMED BADR SULTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5992 BERRYHILL RD, SUITE 104, MILTON, FL 32570-1013
(850) 626-5324
(850) 626-5124
Mailing address
5992 BERRYHILL RD, SUITE 104, MILTON, FL 32570-1013
(850) 626-5324
(850) 626-5124
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
28182
AL
2084N0400X
Neurology Physician
Primary
ME108765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003455100
—
FL
01
—
ET708Z
MEDICARE PTAN
—
Enumeration date
05/29/2007
Last updated
09/12/2016
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