Healthcare Provider Details

I. General information

NPI: 1003284357
Provider Name (Legal Business Name): UOSIFE MOHAMED ALFAHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 S PINE AVE STE 303 BLDG 300
OCALA FL
34471
US

IV. Provider business mailing address

1219 S PINE AVE STE 303 BLDG 300
OCALA FL
34471
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-9298
  • Fax: 352-351-4193
Mailing address:
  • Phone: 352-237-9298
  • Fax: 352-351-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME151271
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: