MOHAMED A MAKSOUD


Address: 9191 R G Skinner Pkwy #404, Jacksonville, FL 32256
Phone: 9047314347

MOHAMED A MAKSOUD (NPI# 1891707428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891707428
Entity Type Individual
Full Name MOHAMED A MAKSOUD
Credential DMD PA
Practice Address 9191 R G Skinner Pkwy #404
Jacksonville
FL 32256
Practice Telephone 9047314347
Practice Fax Number 9047314310
Mailing Telephone 9047314347
Mailing Fax Number 9047314310
Enumeration Date 2006-08-12
Last Update Date 2007-07-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
12016 FL Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
DN12016 FL Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
254685 MA Dental Providers

Office Location

Street Address 9191 R G SKINNER PKWY #404
City JACKSONVILLE
State FL
Zip Code 32256

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235634205 Geraldine Mackoul Ferris Dentist 2280 Shepard St Apt 505, Jacksonville, FL 32211-3284 2018-03-29
1871895680 Michael Jordan Fetner Dentist 7043 Southpoint Pkwy S Ste B, Jacksonville, FL 32216-8742 2010-11-30
1588809206 Lisa Gabrielle Salloum Dentist 9000 Golfside Dr, Suite A, Jacksonville, FL 32256-7793 2008-12-09
1720121791 Luther Hill Hutchens Jr. Dentist 200 Doctors Dr Ste N, Jacksonville, NC 28546-6308 2007-02-15
1629127956 Roger Duane Robinson Jr. Dentist 3595 Cardinal Point Dr, Jacksonville, FL 32257-5500 2007-01-09
1780747873 Alan Robert Romans Dentist 9832 Baymeadows Rd, 200, Jacksonville, FL 32256 2006-12-19
1649341231 Michael Albert Chanatry Dentist 3595 Cardinal Point Drive, Jacksonville, FL 32257 2006-11-13
1396765889 Christian Sven Berdy I Dentist 1511 Stockton St, Jacksonville, FL 32204-4521 2006-07-20
1265412290 Richard E Aguila Dentist 13167 Atlantic Blvd, Jacksonville, FL 32225-3125 2006-01-17
1891790432 Gary David Perlman Dentist 3990 San Jose Park Dr, Jacksonville, FL 32217-4613 2005-06-20
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Competitor

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City JACKSONVILLE
Zip Code 32256

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Dataset Information

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.

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