Provider Demographics
NPI:1821437427
Name:GHONIMY, MOHAMED ELSAYED MAHMOUD (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:ELSAYED MAHMOUD
Last Name:GHONIMY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10372 SW GREEN TURTLE LN
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-6423
Mailing Address - Country:US
Mailing Address - Phone:772-567-4311
Mailing Address - Fax:772-794-1474
Practice Address - Street 1:1000 36TH STREET VERO BEACH STREET
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-567-4311
Practice Address - Fax:772-794-1474
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2024-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME157054208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist