Provider Demographics
NPI:1871735134
Name:JUNAID, MOHAMMAD (MM22626)
Entity type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:
Last Name:JUNAID
Suffix:
Gender:M
Credentials:MM22626
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 BANKS RD
Mailing Address - Street 2:APT. 103
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-6962
Mailing Address - Country:US
Mailing Address - Phone:954-657-8097
Mailing Address - Fax:
Practice Address - Street 1:2900 W SAMPLE RD
Practice Address - Street 2:ACAPULCO 3509/3511
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073-3024
Practice Address - Country:US
Practice Address - Phone:954-984-5027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM22626225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist