Amin, Mohammad Basil

Amin, Mohammad Basil is an sole proprietor health care provider with primary practice located at 205 Zeagler Dr. Suite # 401-B, Palatka FL 32177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Amin, Mohammad Basil can be contacted via phone (386) 325-8482.

Contact Information

Primary practice address
205 Zeagler Dr. Suite # 401-B Palatka FL 32177
Fax: (386) 325-3512
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X ME0072588 Florida

Profile Details

NPI number 1104881101
LBN Legal business name Amin, Mohammad Basil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Apr 4th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104881101 NPPES
Florida MEDICAID 261232100

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