Individual
MOHAMED MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1887 KINGSLEY AVE STE 1900, ORANGE PARK, FL 32073-4451
(904) 276-2549
(904) 276-9235
Mailing address
1887 KINGSLEY AVE STE 1900, ORANGE PARK, FL 32073-4451
(904) 276-2549
(904) 276-9235
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME169214
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
07/18/2024
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