Individual
MOHAMMED JEEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 248-3314
(863) 248-3302
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 534-7028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME33588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039213800
—
FL
01
—
260011532
RAILROAD MEDICARE
FL
Enumeration date
09/22/2005
Last updated
03/07/2023
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