MEDICARE: BAY AREA FAMILY PRACTICE PA

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	207R00000X	Internal Medicine Physician	ME99720	FL

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

General Provider Information

NPI Number	:	1710212691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA FAMILY PRACTICE PA

Provider Business Mailing Address
First Line	:	7758 WALLACE RD STE E
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7218
Country	:	US
Telephone Number	:	407-271-8933
Fax Number	:	407-271-8934

Provider Business Practice Location Address
First Line	:	7758 WALLACE RD STE E
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7218
Country	:	US
Telephone Number	:	407-271-8933
Fax Number	:	407-271-8934

Authorized Official
Title or Position	:	MD
Name	:	MOHAMMED A MUQEEM
Credential	:
Telephone Number	:	407-846-2786

Provider Enumeration Date	:	10/09/2009
Last Update Date	:	03/03/2026

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Directions to “BAY AREA FAMILY PRACTICE PA ” Practice Location

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