Elballat, Mohammad
Elballat, Mohammad is an individual health care provider with primary practice located at 3030 Harden Blvd , Lakeland FL 33803-7952. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Elballat, Mohammad can be contacted via phone (863) 687-1222.Contact Information
Primary practice address
3030 Harden Blvd
Lakeland FL 33803-7952
Phone: (863) 687-1222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME135268 | Florida |
Profile Details
| NPI number | 1700129780 |
|---|---|
| LBN Legal business name | Elballat, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2013 |
| Last updated | Nov 3rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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