Nasser Moukaddem, M.D., P.A.

LBN: Nasser Moukaddem, M.D., P.A.
Nasser Moukaddem, M.D., P.A. is an health care organization with primary practice located at 4226 Central Ave , St Petersburg FL 33711-1140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Nasser Moukaddem, M.D., P.A. can be contacted via phone (727) 321-3915, or through Moukaddem, Nasser via phone (727) 321-3915.

Contact Information

Primary practice address
4226 Central Ave St Petersburg FL 33711-1140
Phone: (727) 321-3915
Fax: (727) 328-0975
Website:
Map and Directions
Authorized official contact:
Name: Moukaddem, Nasser Doctor of Medicine (MD)
Phone: (727) 321-3915

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME71447 Florida

Profile Details

NPI number 1831220235
LBN Legal business name Nasser Moukaddem, M.D., P.A.
DBA Doing business as Nasser Moukaddem, M.D., P.A.
Authorized official Moukaddem, Nasser Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Dec 4th, 2013 - 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 1831220235 NPPES
Florida MEDICAID 260638100
Florida Other 110189691

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