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NPI Code Detail

MEDICARE: FERWA MOHAMMED PA-C

MEDICARE: FERWA MOHAMMED PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9113840FL

General Provider Information

NPI Number : 1023543774
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERWA MOHAMMED PA-C
Provider Business Mailing Address
First Line : PO BOX 23329
Second Line :
City : NEW YORK
State : NY
Zip : 10087-3329
Country : US
Telephone Number : 727-934-7638
Fax Number : 727-944-4052
Provider Business Practice Location Address
First Line : 1005 E BOYER ST
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-5501
Country : US
Telephone Number : 727-934-7638
Fax Number : 727-944-4052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2017
Last Update Date : 07/29/2025

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Directions to “ FERWA MOHAMMED PA-C” Practice Location

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