Provider Demographics
NPI:1215126032
Name:ZAMAN, MOHAMMED N (DO)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:N
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11215 METRO PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1206
Mailing Address - Country:US
Mailing Address - Phone:239-208-2212
Mailing Address - Fax:239-208-3994
Practice Address - Street 1:3665 E BAY DRIVE
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-1990
Practice Address - Country:US
Practice Address - Phone:407-341-2294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13572084N0400X
OH34.0119302084N0400X
ND139772084N0400X
PAOS0197182084N0400X
WAOP606126412084N0400X
MI51010237372084N0400X
ORDO1754352084N0400X
TXTM006352084N0400X
NH173922084N0400X
NY2923552084N0400X
AZ0068052084N0400X
MS246202084N0400X
MO20200113732084N0400X
FLOS110442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3115787Medicaid