Healthcare Provider Details

I. General information

NPI: 1700868809
Provider Name (Legal Business Name): MOHAMMED TOUHEED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3947 SALISBURY RD
JACKSONVILLE FL
32216-6115
US

IV. Provider business mailing address

13116 HIGHLAND GLEN WAY E
JACKSONVILLE FL
32224-1613
US

V. Phone/Fax

Practice location:
  • Phone: 904-296-3533
  • Fax: 904-295-3533
Mailing address:
  • Phone: 904-803-7074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME80510
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: