| Hernando Medical Inc | |
|
12900 Cortez Blvd Ste 202 Brooksville FL 34613 | |
| (352) 597-8844 | |
| (352) 597-8831 |
| Full Name | Hernando Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12900 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Mohammad A Joud (PRESIDENT OWNER) |
| Authorized Official Contact | 3525978844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hernando Medical Inc 12900 Cortez Blvd Ste 202 Brooksville FL 34613 Ph: (352) 597-8844 | Hernando Medical Inc 12900 Cortez Blvd Ste 202 Brooksville FL 34613 Ph: (352) 597-8844 |
| NPI Number | 1023080629 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 12/09/2009 |
| Medicare PECOS PAC ID | 5698735793 |
|---|---|
| Medicare Enrollment ID | O20041013000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023080629 | NPI | - | NPPES |
| 258942700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME78544 (Florida) | Primary |
| Provider Name | Mohammad A Joud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578513313 PECOS PAC ID: 8022078138 Enrollment ID: I20041014000554 |
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