Provider Demographics
NPI:1689409039
Name:MOHAMMED, ABDULLAH ASSER
Entity type:Individual
Prefix:DR
First Name:ABDULLAH
Middle Name:ASSER
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 BISHOP GATE LN APT 2102
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4179
Mailing Address - Country:US
Mailing Address - Phone:904-903-9643
Mailing Address - Fax:
Practice Address - Street 1:5491 DOLPHIN POINT BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-3221
Practice Address - Country:US
Practice Address - Phone:904-256-7846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program