Provider Demographics
NPI:1851575997
Name:TAGHREED ALMAHMEED MD PA
Entity Type:Organization
Organization Name:TAGHREED ALMAHMEED MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/GENERAL SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:TAGHREED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMAHMEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-286-1940
Mailing Address - Street 1:345 BAYSHORE BLVD
Mailing Address - Street 2:#1904
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2344
Mailing Address - Country:US
Mailing Address - Phone:646-286-1940
Mailing Address - Fax:813-944-2499
Practice Address - Street 1:345 BAYSHORE BLVD
Practice Address - Street 2:#1904
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2344
Practice Address - Country:US
Practice Address - Phone:646-286-1940
Practice Address - Fax:813-944-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96419208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280672000Medicaid
FLAI689Medicare PIN