Provider Demographics
NPI:1487635686
Name:MOHAMMED, ZUBAIR (DO)
Entity Type:Individual
Prefix:MR
First Name:ZUBAIR
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 1216
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470
Mailing Address - Country:US
Mailing Address - Phone:561-685-6975
Mailing Address - Fax:561-791-7437
Practice Address - Street 1:13005 SOUTHERN BLVD
Practice Address - Street 2:115
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9206
Practice Address - Country:US
Practice Address - Phone:561-685-6975
Practice Address - Fax:561-701-7437
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0166162084N0400X
FLOS 79692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH07648Medicare UPIN