Individual
TARIK ELMOHD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10427 SHELDON RD, TAMPA, FL 33626-5110
(813) 302-7126
Mailing address
18209 COLLRIDGE DR, TAMPA, FL 33647-2912
(813) 528-1787
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN23977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104422500
—
FL
Enumeration date
04/20/2015
Last updated
08/13/2024
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