| Mohammad T Javed, Mdpa | |
|
6169 S Jog Rd Ste B4 Lake Worth FL 33467-6514 | |
| (561) 249-6959 | |
| (561) 268-2133 |
| Full Name | Mohammad T Javed, Mdpa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6169 S Jog Rd Ste B4, Lake Worth, Florida |
| Authorized Official Name and Position | Mohammad T Javed (OWNER) |
| Authorized Official Contact | 5612045111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad T Javed, Mdpa 11476 Okeechobee Blvd Royal Palm Beach FL 33411-8715 Ph: (561) 204-5111 | Mohammad T Javed, Mdpa 6169 S Jog Rd Ste B4 Lake Worth FL 33467-6514 Ph: (561) 249-6959 |
| NPI Number | 1760958946 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760958946 | NPI | - | NPPES |
| 269144200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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