MEDICARE: DR. MOHAMMAD KALEEM M.D., F.A.C.C.

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	207RC0000X	Cardiovascular Disease Physician	ME 78625	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	47147	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1982762712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD KALEEM M.D., F.A.C.C.

Provider Business Mailing Address
First Line	:	700 ZEAGLER DR
Second Line	:	SUITE 2
City	:	PALATKA
State	:	FL
Zip	:	32177-6806
Country	:	US
Telephone Number	:	386-326-3633
Fax Number	:	386-312-5080

Provider Business Practice Location Address
First Line	:	700 ZEAGLER DR
Second Line	:	SUITE 2
City	:	PALATKA
State	:	FL
Zip	:	32177-6806
Country	:	US
Telephone Number	:	386-326-3633
Fax Number	:	386-312-5080

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	06/22/2026

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