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Inas Fouad Soliman Mikhail

Internal Medicine

Allopathic & Osteopathic Physicians

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as INAS MIKHAIL.

Based on the most recent information from CMS, provider Inas Fouad Soliman Mikhail is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1174361935
Provider Type
Individual
Full Name
Mikhail, Inas Fouad Soliman
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/16/2024
Last Updated
10/21/2024

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License TRN41219 Florida

Inas Fouad Soliman Mikhail

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Keaveny, Andrew

Sulbaran Nava, Marianny Nazareth

Loeb, David

Brahmbhatt, Bhaumik

Stidham, Ryan William

Talley, Nicholas Joseph

Raimondo, Massimo

Pang, Maoyin

Riegert-Johnson, Douglas

Chase, Robert Christopher