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Organization

MOHAMMED A HOSSAIN MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMED AMZAD HOSSAIN MD (CEO)
(732) 347-5584
Entity
Organization

Contact information

Practice address
929 N US HIGHWAY 441 STE 503, LADY LAKE, FL 32159
(352) 578-2486
(352) 358-3884
Mailing address
110 E BERKSHIRE CIR, LONGWOOD, FL 32779-5620
(732) 347-5584

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
12/10/2018
Last updated
10/03/2019
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