Provider Demographics
NPI:1831136241
Name:AKEL, MAHMOOD (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:MAHMOOD
Middle Name:
Last Name:AKEL
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5433 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1110
Mailing Address - Country:US
Mailing Address - Phone:352-596-3367
Mailing Address - Fax:352-596-7700
Practice Address - Street 1:5433 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1110
Practice Address - Country:US
Practice Address - Phone:352-596-3367
Practice Address - Fax:352-596-7700
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38307207Q00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020001069AOtherRAILROAD MEDICARE
FL066423500Medicaid
FLD85399Medicare UPIN
FL26048AMedicare ID - Type Unspecified