Provider Demographics
NPI:1871042770
Name:AMER, MOHAMED (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:
Last Name:AMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19123 SWEET CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3545
Mailing Address - Country:US
Mailing Address - Phone:484-948-7043
Mailing Address - Fax:239-908-3925
Practice Address - Street 1:20041 S TAMIAMI TRL STE 13
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-2228
Practice Address - Country:US
Practice Address - Phone:239-908-3187
Practice Address - Fax:239-908-3925
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL55730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist