MEDICARE: MOHAMMED BIN REZA MD

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
1	207RI0200X	Infectious Disease Physician	ME115865	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	HP209X	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	14SC6	OTHER	FL	BCBS FL

General Provider Information

NPI Number	:	1174753933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED BIN REZA MD

Provider Business Mailing Address
First Line	:	945 LANE AVE S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-4706
Country	:	US
Telephone Number	:	888-831-2949
Fax Number	:	833-973-6210

Provider Business Practice Location Address
First Line	:	945 LANE AVE S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-4706
Country	:	US
Telephone Number	:	888-831-2949
Fax Number	:	833-973-6210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2009
Last Update Date	:	03/10/2026

Similar Medicare Providers

1023360435 — MS. REBECCA K REZA ARNP
Practice Location Address:

945 LANE AVE S
JACKSONVILLE, FL
32205-4706

Practice Phone: 888-831-2949
Practice Fax: 833-973-6210

1033820618 — REZA HEALTH LLC
Practice Location Address:

945 LANE AVE S
JACKSONVILLE, FL
32205-4706

Practice Phone: 888-831-2949
Practice Fax: 833-973-6210

1760459549 — ANTHONY FRANK FAVALE II OD
Practice Location Address:

953 LANE AVE S
JACKSONVILLE, FL
32205-4706

Practice Phone: 904-786-4442
Practice Fax: 904-786-2515

1356394522 — MRS. NE'TOSHA CENETRISE DOPSON-WOODALL PA
Practice Location Address:

949 LANE AVE S
JACKSONVILLE, FL
32205-4706

Practice Phone: 888-831-2949
Practice Fax:

1225141203 — DR AKEL & FAVALE PL
Practice Location Address:

953 LANE AVE S
JACKSONVILLE, FL
32205-4706

Practice Phone: 904-786-4442
Practice Fax: 904-786-2515

1174611651 — DR. ANTHONY T DEAN DDS
Practice Location Address:

945 LANE AVE S
JACKSONVILLE, FL
32205-4706

Practice Phone: 904-781-4011
Practice Fax: 904-781-1726

Directions to “ MOHAMMED BIN REZA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.