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Mohammad Ali Faisal, M.d., P.a.
Specialist in Lake City, Florida
NPI 1689639353

Mohammad Ali Faisal, M.d., P.a. is a Specialist based in Lake City, FL. Mohammad Ali Faisal, M.d., P.a. practices in Lake City, FL. The NPI Number for Mohammad Ali Faisal, M.d., P.a. is 1689639353 and holds a License No. ME58587 (Florida).

The current practice location address for Mohammad Ali Faisal, M.d., P.a. is 1283 Sw State Road 47, Lake City, FL and can be reached out via phone at 386-758-5985 and via fax at 386-758-5987.

Location: 1283 Sw State Road 47, Lake City, FL, 32056-3009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689639353
Provider Name
Mohammad Ali Faisal, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
1283 Sw State Road 47, Lake City, FL, 32056-3009
Phone Number
386-758-5985
Fax Number
386-758-5987
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
21142 01 FL BCBS
251378100 05 FL
institution
Provider Business Practice Location Address Details
Address
1283 Sw State Road 47
City
Lake City
State
Florida
Zip
32025-0490
Phone Number
386-758-5985
Fax Number
386-758-5987
person
Provider Business Mailing Address Details
Address
1283 Sw State Road 47
City
Lake City
State
Florida
Zip
32025-0490
Phone Number
386-758-5985
Fax Number
386-758-5987
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME58587 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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