Healthcare Provider Details

I. General information

NPI: 1447786421
Provider Name (Legal Business Name): MOHAMMAD ALI HUMZA SALIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HUMZA SALIM MD

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 SW 27TH AVE
OCALA FL
34471-4306
US

IV. Provider business mailing address

3130 SW 27TH AVE
OCALA FL
34471-4306
US

V. Phone/Fax

Practice location:
  • Phone: 352-671-3130
  • Fax:
Mailing address:
  • Phone: 352-671-3130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD474806
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME160559
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: