| Doctor Name: | MR. MUHAMMAD ANEES |
| NPI Number: | 1356651848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA9100246 |
| Business Practice Address: | 110 Jernigan Ave Bonifay, FL - 324254220 |
| Business Phone Number: | 8505470988 |
| Business Fax Number: | 8505473205 |
| Mailing Address: | 110 Jernigan Ave, BONIFAY |
| State: | FL |
| Postal Code: | 324254220 |
| Phone Number: | 8505470988 |
| Fax Number: | 8505473205 |
| NPI Enumeration Date: | 10/18/2010 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9100246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |