Healthcare Provider Details

I. General information

NPI: 1790099257
Provider Name (Legal Business Name): MONEES HUSSAIN SYED M.D, MPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONCENTRA URGENT CARE, 5995-1 UNIVERSITY BLVD, WEST
JACKSONVILLE FL
32216
US

IV. Provider business mailing address

5995-1 UNIVERSITY BLVD W
JACKSONVILLE FL
32216
US

V. Phone/Fax

Practice location:
  • Phone: 701-293-4113
  • Fax:
Mailing address:
  • Phone: 904-737-7173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberME132046
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME132046
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: