Individual
DR. KAYUM MOHAMMADBHOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 767-0696
(863) 767-0697
Mailing address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3012
(863) 452-3069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME19370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050532300
—
FL
Enumeration date
11/10/2005
Last updated
04/29/2014
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