Siddiq, Mohammed

Siddiq, Mohammed is an individual health care provider with primary practice located at 4700 Millenia Blvd Ste 175 , Orlando FL 32839-6015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Siddiq, Mohammed can be contacted via phone (407) 442-0343.

Contact Information

Primary practice address
4700 Millenia Blvd Ste 175 Orlando FL 32839-6015
Phone: (407) 442-0343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X SU4249 Florida

Profile Details

NPI number 1316605025
LBN Legal business name Siddiq, Mohammed
Credentials MT(ASCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2021
Last updated Nov 30th, 2021 - about 4 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 1316605025 NPPES
Florida Other SU4249 STATE OF FLORIDA DEPARTMENT OF HEALTH

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