Healthcare Provider Details

I. General information

NPI: 1497637300
Provider Name (Legal Business Name): AHMED MOHAMED
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 BRUCE B DOWNS BLVD STE 300
TAMPA FL
33613-4653
US

IV. Provider business mailing address

13601 BRUCE B DOWNS BLVD STE 300
TAMPA FL
33613-4653
US

V. Phone/Fax

Practice location:
  • Phone: 813-615-8235
  • Fax:
Mailing address:
  • Phone:
  • 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: