MEDICARE: MOHAMED MAHMOUD NAGI 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	2086S0129X	Vascular Surgery Physician	ME157156	FL

General Provider Information

NPI Number	:	1649616152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED MAHMOUD NAGI MD

Provider Business Mailing Address
First Line	:	14100 FIVAY RD STE 300
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7160
Country	:	US
Telephone Number	:	727-992-7036
Fax Number	:

Provider Business Practice Location Address
First Line	:	14100 FIVAY RD STE 300
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7160
Country	:	US
Telephone Number	:	727-992-7036
Fax Number	:

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

Provider Enumeration Date	:	05/12/2013
Last Update Date	:	01/03/2025

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