Healthcare Provider Details

I. General information

NPI: 1750184024
Provider Name (Legal Business Name): MUHAMMAD USMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date: 11/14/2025
Reactivation Date: 01/02/2026

III. Provider practice location address

2001 KINGLSEY AVENUE, HCA FLORIDA ORANGE PARK HOSPITAL
ORANGE PARK FL
32073
US

IV. Provider business mailing address

2001 KINGLSEY AVENUE, HCA FLORIDA ORANGE PARK HOSPITAL
ORANGE PARK FL
32073
US

V. Phone/Fax

Practice location:
  • Phone: 904-639-2022
  • Fax:
Mailing address:
  • Phone: 904-639-2022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: