| Dr Mohammed Noman Mona, MD | |
|
3599 University Blvd S, Suite 905, Jacksonville, FL 32216-4252 | |
| (904) 355-6583 | |
| (904) 355-0223 |
| Full Name | Dr Mohammed Noman Mona |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 3599 University Blvd S, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427075399 | NPI | - | NPPES |
| 4368281 | Other | AETNA | |
| 15409 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME 0027743 (Florida) | Primary |
| Entity Name | Florida Physician Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588917108 PECOS PAC ID: 4486806213 Enrollment ID: O20121130000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammed Noman Mona, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583 | Dr Mohammed Noman Mona, MD 3599 University Blvd S, Suite 905, Jacksonville, FL 32216-4252 Ph: (904) 355-6583 |
Amanda Elizabeth Black, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Eric Alee Vance Qualkenbush, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Daniela Andrea Haehn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Khue Anh Minh Tran, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922 |