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NPI Code Detail

MEDICARE: MOHAMMED HABIB MANNAN LPTA

MEDICARE: MOHAMMED HABIB MANNAN LPTA
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
1225200000XPhysical Therapy AssistantPTAT34592FL

General Provider Information

NPI Number : 1922959287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED HABIB MANNAN LPTA
Provider Business Mailing Address
First Line : 5017 TERRACE VILLAGE LN
Second Line :
City : TAMPA
State : FL
Zip : 33617-1027
Country : US
Telephone Number : 813-392-8846
Fax Number :
Provider Business Practice Location Address
First Line : 6117 GUNN HWY
Second Line :
City : TAMPA
State : FL
Zip : 33625-4013
Country : US
Telephone Number : 813-978-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/05/2026

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