| Hyde Medical Services | |
|
255 Citrus Tower Blvd Suite 212 Clermont FL 34711-2756 | |
| (352) 243-7860 | |
| (866) 890-0786 |
| Full Name | Hyde Medical Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 Citrus Tower Blvd, Clermont, Florida |
| Authorized Official Name and Position | Mohammed A Muqeem (PRESIDENT) |
| Authorized Official Contact | 3522437860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Medical Services 101 E Broad St Groveland FL 34736-2501 Ph: (352) 243-7860 | Hyde Medical Services 255 Citrus Tower Blvd Suite 212 Clermont FL 34711-2756 Ph: (352) 243-7860 |
| NPI Number | 1972756112 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 03/10/2009 |
| Medicare PECOS PAC ID | 4587716287 |
|---|---|
| Medicare Enrollment ID | O20090710000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972756112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME 93005 (Florida) | Primary |
| Provider Name | Mohammed A Muqeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386693398 PECOS PAC ID: 9133147598 Enrollment ID: I20051105000035 |
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