| Mohammad a Kasem, PA | |
|
242 Taylor St Ocoee FL 34761-2142 | |
| (407) 656-4702 | |
| (407) 654-1588 |
| Full Name | Mohammad a Kasem, PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 242 Taylor St, Ocoee, Florida |
| Authorized Official Name and Position | Mohammad Abul Kasem (PRESIDENT) |
| Authorized Official Contact | 4076564702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad a Kasem, PA 242 Taylor St Ocoee FL 34761-2142 Ph: (407) 656-4702 | Mohammad a Kasem, PA 242 Taylor St Ocoee FL 34761-2142 Ph: (407) 656-4702 |
| NPI Number | 1275962433 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275962433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 8744 (Florida) | Primary |
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