Healthcare Provider Details

I. General information

NPI: 1295784551
Provider Name (Legal Business Name): MOHAMAD IQBAL SALEH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10441 QUALITY DR STE 100
SPRING HILL FL
34609-9649
US

IV. Provider business mailing address

PO BOX 5733
SPRING HILL FL
34611-5733
US

V. Phone/Fax

Practice location:
  • Phone: 352-293-4438
  • Fax:
Mailing address:
  • Phone: 352-556-4080
  • Fax: 352-556-4081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberME0057785
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: