Provider Demographics
NPI:1023543774
Name:MOHAMMED, FERWA (PA-C)
Entity type:Individual
Prefix:
First Name:FERWA
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23329
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-3329
Mailing Address - Country:US
Mailing Address - Phone:727-934-7638
Mailing Address - Fax:727-944-4052
Practice Address - Street 1:1005 E BOYER ST
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-5501
Practice Address - Country:US
Practice Address - Phone:727-934-7638
Practice Address - Fax:727-944-4052
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9113840363A00000X
CA54477363A00000X
FL283942376K00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No376K00000XNursing Service Related ProvidersNurse's Aide