Provider Demographics
NPI:1568430452
Name:MOHI ELDIN, ADEL M (MD)
Entity type:Individual
Prefix:DR
First Name:ADEL
Middle Name:M
Last Name:MOHI ELDIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:ADEL
Other - Middle Name:M
Other - Last Name:MOHI ELDIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2950 ALT US HWY 27 S STE B
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4912
Mailing Address - Country:US
Mailing Address - Phone:863-402-3429
Mailing Address - Fax:863-402-3275
Practice Address - Street 1:2950 ALT US HWY 27 S STE B
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4912
Practice Address - Country:US
Practice Address - Phone:863-402-3429
Practice Address - Fax:863-402-3275
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064865174400000X
GA078894207RC0000X
FLME64865207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113326800Medicaid
FL255152701Medicaid
FL43586YMedicare ID - Type Unspecified