Individual
MR. MOHAMMED I KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3501 13TH ST, SAINT CLOUD, FL 34769-4054
(321) 295-3586
(407) 891-0213
Mailing address
3501 13TH ST, SAINT CLOUD, FL 34769-4054
(321) 295-3586
(407) 891-0213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9259780
FL
Other
Enumeration date
06/13/2011
Last updated
02/01/2022
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