Mohamed, Khaled A

Mohamed, Khaled A is an individual health care provider with primary practice located at 220 Barton Blvd Unit C#14, Rockledge FL 32955-2742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mohamed, Khaled A can be contacted via phone (321) 639-5177.

Contact Information

Primary practice address
220 Barton Blvd Unit C#14 Rockledge FL 32955-2742
Phone: (321) 639-5177
Fax: (321) 639-4927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME91997 Florida

Profile Details

NPI number 1144289620
LBN Legal business name Mohamed, Khaled A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Apr 8th, 2015 - 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 1144289620 NPPES
Florida MEDICAID 002924500

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