Individual ProviderLina MohammedPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-7600(813) 719-0704PECOS EnrollmentBased on the most recent information from CMS, provider Lina Mohammed does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1750122347Provider TypeIndividualFull NameMohammed, LinaGenderFemaleSole ProprietorYesEnumeration Date6/5/2024Last Updated7/17/2024Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-7600FaxUnlisted FaxMailing LocationMailing Address18111 Palm Beach Dr, Tampa, FL 33647-4048Phone(813) 719-0704FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense41814FloridaCode261QP2000XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer