MEDICARE: MR. ALLIF MOHAMMED

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	183500000X	Pharmacist	PS29314	FL

General Provider Information

NPI Number	:	1427178219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALLIF MOHAMMED

Provider Business Mailing Address
First Line	:	8241 WELLSMERE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-5365
Country	:	US
Telephone Number	:	407-770-6077
Fax Number	:	321-206-5127

Provider Business Practice Location Address
First Line	:	2751 N HIAWASSEE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3009
Country	:	US
Telephone Number	:	407-770-6077
Fax Number	:	321-206-5127

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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