Provider Demographics
NPI:1891984795
Name:MOHAMMED, SHEILA (MD, MSPH, PHD(C))
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:MD, MSPH, PHD(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5675 HIGHWAY 90
Mailing Address - Street 2:STE B
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583-1675
Mailing Address - Country:US
Mailing Address - Phone:850-623-4473
Mailing Address - Fax:850-623-4475
Practice Address - Street 1:5675 HIGHWAY 90
Practice Address - Street 2:STE B
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-1675
Practice Address - Country:US
Practice Address - Phone:850-623-4473
Practice Address - Fax:850-623-4475
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1001632083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine