MUJEEB DDSPA NPI 1801219159

NPI Information

  • NPI: 1801219159
  • Provider Name: MUJEEB DDS,PA
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 3226 LAKE WASHINGTON RD
    # 16
    MELBOURNE, FL
    ZIP 32934
  • Phone: (321) 255-1991

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NPI Details

MUJEEB DDS,PA is a point of service in Melbourne, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MUJEEB DDS,PA NPI is 1801219159. The provider is registered as an organization entity type.

The provider's business location address is:

3226 LAKE WASHINGTON RD
# 16
MELBOURNE, FL
ZIP 32934-620
Phone: (321) 255-1991
Fax: (321) 752-0011

The provider's authorized official is Alma Balchuck .
The authorized official title is Manager and has the following contact phone number (321) 255-1991.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 1/22/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServiceDN13401FLORIDAYes

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: 11/21/2025

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