MOHAMMED BIN REZA (NPI# 1174753933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174753933 |
| Entity Type | Individual |
| Full Name | MOHAMMED BIN REZA |
| Credential | MD |
| Practice Address |
4615 Philips Hwy Ste 3 Jacksonville FL 32207-9506 |
| Mailing Address |
4440 Fruitville Rd Sarasota FL 34232-1926 |
| Practice Telephone | 9045080710 |
| Practice Fax Number | 8552997010 |
| Mailing Telephone | 9413660134 |
| Mailing Fax Number | 9414041760 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME115865 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009510300 | 05 | |
| FL | BCBS FL | 14SC6 | 01 |
| FL | MEDICARE | HP209X | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 322241865 | 9049532000 | 9049532898 |
| 1435 Dunn Ave Ste 101, Daytona Beach, FL 321141434 | 3862747651 | 8772425455 |
| Street Address |
4615 PHILIPS HWY STE 3 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-9506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851455117 | Stephen M Henry | Dentist | 4615 Philips Hwy Ste 3, Jacksonville, FL 32207-9506 | 2006-12-21 |
| 1033589544 | Katherine Eugenia Rogers | Nurse Practitioner | 4615 Philips Hwy Ste 3, Jacksonville, FL 32207-9539 | 2015-09-28 |
| 1013178581 | Dana Carol Barnes | Family Medicine | 4615 Philips Hwy Ste 3, Jacksonville, FL 32207-9506 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031524 | Overflow Health Alliance Inc | Internal Medicine | 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 | 2020-04-14 |
| 1609201334 | Harry D. Marty Vigo | Internal Medicine | 15255 Max Leggett Pkwy Ste 4224, Jacksonville, FL 32218-7275 | 2013-09-12 |
| 1235351362 | Ramon Dizon Md Pa | Internal Medicine | 1200 Barrs Street, Jacksonville, FL 32204 | 2007-05-02 |
| 1730145608 | Sebastian Robert Stanciu | Internal Medicine | 2122 University Blvd S, Jacksonville, FL 32216-8937 | 2006-04-21 |
| 1326016536 | Ivan A Guerrero | Internal Medicine | 6817 Southpoint Pkwy Ste 802, Jacksonville, FL 32216 | 2006-03-14 |
| 1265426829 | Luis U Ramirez | Internal Medicine | 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 | 2005-09-09 |
| 1518951441 | Robert J Catalla | Internal Medicine | 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 32207-8207 | 2005-09-07 |
| 1750814414 | Sammer M. Elwasila | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-04-09 |
| 1417364563 | Mark Anthony Antonio Diaz | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2014-07-21 |
| 1447690987 | Kapil Vyas | Internal Medicine | 3 Shircliff Way Ste 625, Jacksonville, FL 32204-4776 | 2013-06-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.