Organization Active NPI

Future Pediatrics, LLC

  • Specialist
  • Panama City, FL
National Provider Identifier
1144468224
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME92242 Issued in FL
Legal business name
FUTURE PEDIATRICS, LLC
Practice address
292 Forest Park Cir
Panama City, FL 32405-4921
Phone
(850) 767-4777
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ahmed Abobaker Mohamed, M.D.NPI 1699794149
Title
President
Phone
(850) 767-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME92242 FL Primary

Addresses

Primary practice location

292 Forest Park Cir
Panama City, FL 32405-4921

Mailing address

PO Box 1430
Lynn Haven, FL 32444-6230
Phone (850) 767-4777

Other identifiers 2

IdentifierTypeStateIssuer
000261000MedicaidFL
272366200MedicaidFL

National Provider Directory

National Provider Directory

Locations

292 Forest Park Cir
Panama City, FL 32405
Phone (850) 767-4777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1144468224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446230",
            "telephone_number": "850-767-4777",
            "fax_number": "850-763-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054921",
            "telephone_number": "850-767-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ABOBAKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-767-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000261000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272366200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.