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NPI Code Detail

MEDICARE: MOHAMMED AK MOOSA MD

MEDICARE:   MOHAMMED AK MOOSA  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
1207R00000XInternal Medicine PhysicianME80391FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2145EKOTHERFLBCBS ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437268620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED AK MOOSA MD
Provider Business Mailing Address
First Line : 2869 WILSHIRE DR
Second Line : STE 205
City : ORLANDO
State : FL
Zip : 32835-3282
Country : US
Telephone Number : 407-295-0500
Fax Number : 407-290-2997
Provider Business Practice Location Address
First Line : 2869 WILSHIRE DR
Second Line : STE 205
City : ORLANDO
State : FL
Zip : 32835-3282
Country : US
Telephone Number : 407-295-0500
Fax Number : 407-290-2997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 04/30/2010

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Directions to “ MOHAMMED AK MOOSA MD” Practice Location

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