Swann Oak Medical Group of Florida LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

SWANN OAK MEDICAL GROUP OF FLORIDA LLC

Practice address

18713 N Dale Mabry Hwy Ste B
Lutz, FL 33548-4979

Phone

(813) 565-9085

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khalid Mohammed, DO

Title

Owner and Lead

Phone

(813) 565-9085

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1205733235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 W CARMEN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091203",
            "telephone_number": "813-565-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18713 N DALE MABRY HWY STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484979",
            "telephone_number": "813-565-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANN OAK MEDICAL GROUP OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER AND LEAD",
        "authorized_official_telephone_number": "813-565-9085",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.