Dr. Mohammad Basil Amin
Internist - Addiction Medicine
205 Zeagler Dr. Suite # 401-B
Palatka
, Florida 32177
Dr. Mohammad Basil Amin
Internist - Addiction Medicine
205 Zeagler Dr. Suite # 401-B
Palatka
, Florida 32177
(386) 325-3512
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Mohammad Basil Amin
- Po Box 2468
- Palatka, FL
- Zip : 32177
- Fax : (386) 325-3512
- Phone : (386) 325-8482
Second Address
- Dr. Mohammad Basil Amin
- 205 Zeagler Dr. Suite # 401-B
- Palatka, FL
- Zip : 32177
- Fax : (386) 325-3512
- Phone : (386) 325-8482
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | ME0072588 | FL |
National Provider Identifier
| NPI | 1104881101 |
|---|---|
| Provider Name | Dr. Mohammad Basil Amin |
| First Address | Palatka, FL 32177 |
| Second Address | Palatka, FL 32177 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 04/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 261232100 | (05) | FL |
| G39429 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.