Individual
MOHAMMED BIN REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 LANE AVE S, JACKSONVILLE, FL 32205-4706
(888) 831-2949
(833) 973-6210
Mailing address
945 LANE AVE S, JACKSONVILLE, FL 32205-4706
(888) 831-2949
(833) 973-6210
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME115865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009510300
—
FL
01
—
14SC6
BCBS FL
FL
01
—
HP209X
MEDICARE
FL
Enumeration date
07/15/2009
Last updated
03/10/2026
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