Individual
DR. AHMED ABO BAKER MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
748 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 767-4777
Mailing address
PO BOX 1430, LYNN HAVEN, FL 32444-6230
(850) 767-4777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME92242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272366200
—
FL
Enumeration date
07/18/2006
Last updated
06/09/2020
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