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General NPI Number Information
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NPI Number | 1114361441
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Entity Type | Individual
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Provider Name | MOHAMAD KHALID JIBAWI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 5522 TROUBLE CREEK RD STE 102
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City | NEW PRT RCHY
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State | FL
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Zip | 34652-5171
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Country | US
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Telephone | 727-788-3070
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Fax | 727-788-3072
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Provider Business Mailing Address
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Address Line | 5400 PINEHURST DR
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City | SPRING HILL
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State | FL
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Zip | 34606-3833
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Country | US
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Telephone | 727-271-8725
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Fax | 352-606-2857
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME127256
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME127256
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License Number State | FL
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