Faisal, Mohamed Moosa
Faisal, Mohamed Moosa is an individual health care provider with primary practice located at 9981 S. Healthpark Dr. Suite 281, Fort Myers FL 33908-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Faisal, Mohamed Moosa can be contacted via phone (239) 343-6906.Contact Information
Primary practice address
9981 S. Healthpark Dr. Suite 281
Fort Myers FL 33908-3618
Phone: (239) 343-6906
Fax: (239) 343-6915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ME 52201 | Florida |
Profile Details
| NPI number | 1255301271 |
|---|---|
| LBN Legal business name | Faisal, Mohamed Moosa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 11th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255301271 | NPPES |
| Florida | Other | 07630 | BLUE CROSS |
| Florida | MEDICAID | 048380000 | BLUE CROSS |
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