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MOHAMED H ANTAR MD PA NPI 1225197916


NPI Information

NPI: 1225197916
Provider Name: MOHAMED H ANTAR MD PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
2150 PARK ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 384-8733
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MOHAMED H ANTAR MD PA is an urology in Jacksonville, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MOHAMED H ANTAR MD PA NPI is 1225197916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2150 PARK ST
JACKSONVILLE, FL
ZIP 32204-812
Phone: (904) 384-8733
Fax: (904) 384-9004

The provider's authorized official is Mohamed H Antar .
The authorized official title is President and has the following contact phone number (904) 384-8733.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyME23316FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
171753OTHERFLORIDABCBS GROUP #
298014MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMCARE GROUP ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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