Provider Demographics
NPI:1427178219
Name:MOHAMMED, ALLIF
Entity type:Individual
Prefix:MR
First Name:ALLIF
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8241 WELLSMERE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5365
Mailing Address - Country:US
Mailing Address - Phone:407-770-6077
Mailing Address - Fax:321-206-5127
Practice Address - Street 1:2751 N HIAWASSEE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-3009
Practice Address - Country:US
Practice Address - Phone:407-770-6077
Practice Address - Fax:321-206-5127
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist