Provider Demographics
NPI:1700868809
Name:TOUHEED, MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:
Last Name:TOUHEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13116 HIGHLAND GLEN WAY E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1613
Mailing Address - Country:US
Mailing Address - Phone:904-803-7074
Mailing Address - Fax:
Practice Address - Street 1:3947 SALISBURY RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6115
Practice Address - Country:US
Practice Address - Phone:904-296-3533
Practice Address - Fax:904-295-3533
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80510207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271971100Medicaid
FLH57747Medicare UPIN
FLE7208ZMedicare ID - Type Unspecified