MEDICARE: MOHAMMAD YUNUS 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	207R00000X	Internal Medicine Physician	ME27818	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730165259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD YUNUS MD

Provider Business Mailing Address
First Line	:	404 E HIGHWAY 90
Second Line	:
City	:	BONIFAY
State	:	FL
Zip	:	32425-2731
Country	:	US
Telephone Number	:	850-547-4284
Fax Number	:	850-547-5415

Provider Business Practice Location Address
First Line	:	404 E HIGHWAY 90
Second Line	:
City	:	BONIFAY
State	:	FL
Zip	:	32425-2731
Country	:	US
Telephone Number	:	850-547-4284
Fax Number	:	850-547-5415

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

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	03/01/2017

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Directions to “ MOHAMMAD YUNUS MD” Practice Location

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