Individual
MR. MUHAMMAD ANEES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
110 JERNIGAN AVE, BONIFAY, FL 32425-4220
(850) 547-0988
(850) 547-3205
Mailing address
110 JERNIGAN AVE, BONIFAY, FL 32425-4220
(850) 547-0988
(850) 547-3205
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290667800
—
FL
Enumeration date
10/18/2010
Last updated
10/18/2010
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