Individual
KHADRA S ALI-MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10347 CROSS CREEK BLVD STE C4, TAMPA, FL 33647-2993
(813) 421-1453
Mailing address
10347 CROSS CREEK BLVD STE C4, TAMPA, FL 33647-2993
(813) 421-1453
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7333
FL
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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