Mohammad Ali Faisal Mdpa

LBN: Mohammad Ali Faisal Mdpa
Mohammad Ali Faisal Mdpa is an health care organization with primary practice located at 1283 Sw State Rd 47 Ste 104, Lake City FL 32025. 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 Mdpa can be contacted via phone (386) 758-5985, or through Faisal Md, Mohammad via phone (386) 758-5985.

Contact Information

Primary practice address
1283 Sw State Rd 47 Ste 104 Lake City FL 32025
Phone: (386) 758-5985
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faisal Md, Mohammad
Phone: (386) 758-5985

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1275944126
LBN Legal business name Mohammad Ali Faisal Mdpa
DBA Doing business as
Authorized official Faisal Md, Mohammad
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2014
Last updated May 14th, 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 1275944126 NPPES
Florida MEDICAID 051283400

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