Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | ME133757 | FL |
NPI | 1245642875 |
---|---|
Provider Name | Mohammed Al-Humiari |
First Address | Orlando, FL 32806-1141 |
Second Address | Orlando, FL 32806-1141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2014 |
Last Update Date | 20/08/2021 |