MEDICARE: MOHAMMAD T JAVED, MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	ME0071079	FL

General Provider Information

NPI Number	:	1104221910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOHAMMAD T JAVED, MD PA

Provider Business Mailing Address
First Line	:	25 SE MLK BLVD
Second Line	:
City	:	BELLE GLADE
State	:	FL
Zip	:	33430-4044
Country	:	US
Telephone Number	:	561-983-8571
Fax Number	:	561-204-5150

Provider Business Practice Location Address
First Line	:	25 SE MLK BLVD
Second Line	:
City	:	BELLE GLADE
State	:	FL
Zip	:	33430-4044
Country	:	US
Telephone Number	:	561-983-8571
Fax Number	:	561-204-5150

Authorized Official
Title or Position	:	OWNDER
Name	:	MOHAMMAD T JAVED
Credential	:	MD
Telephone Number	:	561-339-5909

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	10/29/2015

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