Healthcare Provider Details

I. General information

NPI: 1912496514
Provider Name (Legal Business Name): MOHAMED SULIMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 S PINE AVE STE 204
OCALA FL
34471-6524
US

IV. Provider business mailing address

2337 SW ARCHER RD APT 1007
GAINESVILLE FL
32608-1008
US

V. Phone/Fax

Practice location:
  • Phone: 352-354-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number30643
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME167270
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: