Individual
DR. MOHAN PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 N CONGRESS AVE, SUITE 203, WEST PALM BEACH, FL 33407-3228
(561) 881-0100
(561) 881-0099
Mailing address
4601 N CONGRESS AVE, SUITE 203, WEST PALM BEACH, FL 33407-3228
(561) 881-0100
(561) 881-0099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME59705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058958600
—
FL
Enumeration date
06/10/2006
Last updated
09/17/2012
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