Mohammad Ali Faisal, M.D., P.A.

LBN: Mohammad Ali Faisal, M.D., P.A.
Mohammad Ali Faisal, M.D., P.A. is an health care organization with primary practice located at 1283 Sw State Road 47 Suite 104, Lake City FL 32025-0490. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mohammad Ali Faisal, M.D., P.A. can be contacted via phone (386) 758-5985, or through Faisal, Mohammad Ali via phone (386) 758-5985.

Contact Information

Primary practice address
1283 Sw State Road 47 Suite 104 Lake City FL 32025-0490
Phone: (386) 758-5985
Fax: (386) 758-5987
Website:
Map and Directions
Authorized official contact:
Name: Faisal, Mohammad Ali Doctor of Medicine (MD)
Phone: (386) 758-5985

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME58587 Florida

Profile Details

NPI number 1689639353
LBN Legal business name Mohammad Ali Faisal, M.D., P.A.
DBA Doing business as
Authorized official Faisal, Mohammad Ali Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated May 19th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689639353 NPPES
Florida Other 21142 BCBS
Florida MEDICAID 251378100 BCBS

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