Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME151271 | FL |
NPI | 1003284357 |
---|---|
Provider Name | Uosife Mohamed Alfahd |
First Address | Fortson, GA 31808-0370 |
Second Address | Kissimmee, FL 34741-2342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2015 |
Last Update Date | 02/12/2021 |