Healthcare Provider Details

I. General information

NPI: 1710611249
Provider Name (Legal Business Name): INFECTIOUS DISEASE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17942 CACHET ISLE DR
TAMPA FL
33647-2702
US

IV. Provider business mailing address

17942 CACHET ISLE DR
TAMPA FL
33647-2702
US

V. Phone/Fax

Practice location:
  • Phone: 727-266-0748
  • Fax: 813-291-7789
Mailing address:
  • Phone: 727-266-0748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ASAD K MOHMAND
Title or Position: OWNER
Credential: MD
Phone: 727-266-0748