Individual
DR. RICARDO KEVIN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5992 BERRYHILL RD, SUITE 203, MILTON, FL 32570-1013
(850) 626-5391
Mailing address
5992 BERRYHILL RD, SUITE 203, MILTON, FL 32570-1013
(850) 626-5391
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS017293
PA
208600000X
Surgery Physician
Primary
OS13830
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/29/2010
Last updated
09/01/2020
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