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NPI Code Detail

MEDICARE: MOHAMED ELTAHIR ABDELRAHMAN DC

MEDICARE:   MOHAMED ELTAHIR ABDELRAHMAN  DC
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
1111N00000XChiropractor14704FL

General Provider Information

NPI Number : 1780462895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ELTAHIR ABDELRAHMAN DC
Provider Business Mailing Address
First Line : 1105 CLARA AVE APT 2111
Second Line :
City : PANAMA CITY BEACH
State : FL
Zip : 32407-2894
Country : US
Telephone Number : 443-365-7098
Fax Number :
Provider Business Practice Location Address
First Line : 13305 PANAMA CITY BEACH PKWY
Second Line :
City : PANAMA CITY BEACH
State : FL
Zip : 32407-2844
Country : US
Telephone Number : 850-234-2242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 09/19/2023

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Directions to “ MOHAMED ELTAHIR ABDELRAHMAN DC” Practice Location

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