MEDICARE: MOURAD HEALTH LLC

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	261Q00000X	Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1649119967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOURAD HEALTH LLC

Provider Business Mailing Address
First Line	:	10989 LEGACY GATEWAY CIR UNIT 211
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-2716
Country	:	US
Telephone Number	:	305-303-3908
Fax Number	:

Provider Business Practice Location Address
First Line	:	10989 LEGACY GATEWAY CIR UNIT 211
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-2716
Country	:	US
Telephone Number	:	305-303-3908
Fax Number	:

Authorized Official
Title or Position	:	CONSULTANT
Name	:	MRS. FARAH BAUDIN
Credential	:
Telephone Number	:	786-277-1621

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “MOURAD HEALTH LLC ” Practice Location

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