Individual
DR. MOHAMMED NOMAN MONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3599 UNIVERSITY BLVD S, SUITE 905, JACKSONVILLE, FL 32216-4252
(904) 355-6583
(904) 355-0223
Mailing address
710 LOMAX ST, JACKSONVILLE, FL 32204-4004
(904) 355-6583
(904) 355-0223
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 0027743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15409
BLUE CROSS BLUE SHIELD
FL
01
—
4368281
AETNA
—
Enumeration date
07/16/2006
Last updated
02/15/2013
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