Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohamed Mohamed

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275064982

Mohamed Mohamed is a General Surgery in Orange Park, Florida. Qualified in 2014, 12 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451
Phone: (904) 276-2549
Fax: (904) 276-9235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1611 Nw 12th Ave, Miami, FL 33136-1005 — (305) 585-1280

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence ME169214 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275064982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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