| Mohammad Basil Amin Md Pa | |
|
800 Prudential Dr Jacksonville FL 32207-8202 | |
| (904) 446-6666 | |
| Not Available |
| Full Name | Mohammad Basil Amin Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Prudential Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Mohammad B Amin (OWNER) |
| Authorized Official Contact | 9044466666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Basil Amin Md Pa Po Box 2261 Orange Park FL 32067-2261 Ph: () - | Mohammad Basil Amin Md Pa 800 Prudential Dr Jacksonville FL 32207-8202 Ph: (904) 446-6666 |
| NPI Number | 1760719702 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 02/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760719702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME72588 (Florida) | Primary |
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