Healthcare Provider Details

I. General information

NPI: 1902036569
Provider Name (Legal Business Name): MAHMOUD TURKI KAMEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 05/11/2025
Certification Date: 05/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4710 N HABANA AVE STE 107
TAMPA FL
33614-7143
US

IV. Provider business mailing address

4710 N HABANA AVE STE 107
TAMPA FL
33614-7143
US

V. Phone/Fax

Practice location:
  • Phone: 813-910-0030
  • Fax: 813-348-6211
Mailing address:
  • Phone: 954-463-0112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number63904
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number35022
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME140977
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: