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DR. MOHAMMAD BASIL AMIN M.D

Addiction Medicine >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1104881101

Individual Registrant:
DR. MOHAMMAD BASIL AMIN M.D
Gender: M
Sole Proprietor

Location and contact information for practice:
205 ZEAGLER DR. SUITE # 401-B PALATKA, FL 32177 US
Tel: 386-325-8482  Fax: 386-325-3512

Contact information for business:
PO BOX 2468  PALATKA, FL 32177 US
Tel: 386-325-8482  Fax: 386-325-3512

Registration Information:
NPI: 1104881101
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RA0401XAllopathic & Osteopathic Physicians
Internal Medicine
Addiction Medicine
FLME0072588

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
261232100FL05




HEALTH CARE JOBS FL - Page 1



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