Maksoud, Mohamed A
Maksoud, Mohamed A is an sole proprietor health care provider with primary practice located at 9191 R G Skinner Pkwy #404 , Jacksonville FL 32256. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Maksoud, Mohamed A can be contacted via phone (904) 731-4347.Contact Information
Primary practice address
9191 R G Skinner Pkwy #404
Jacksonville FL 32256
Phone: (904) 731-4347
Fax: (904) 731-4310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 254685 | Massachusetts |
| Dental Providers / Periodontics | 1223P0300X | DN12016 | Florida |
| Dental Providers / Periodontics | 1223P0300X | 12016 | Florida |
Profile Details
| NPI number | 1891707428 |
|---|---|
| LBN Legal business name | Maksoud, Mohamed A |
| Credentials | DMD PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 26th, 2007 - about 18 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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