Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 54477 | CA |
NPI | 1023543774 |
---|---|
Provider Name | Ferwa Mohammed |
First Address | Tampa, FL 33602-3509 |
Second Address | Tampa, FL 33602-3509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2017 |
Last Update Date | 12/08/2021 |