Basic Information
Provider Information
NPI: 1114239944
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UMER
FirstName: MUHAMMAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 100238
Address2: DIVISION OF HOSPITAL MEDICINE, UNI OF FLORIDA
City: GAINESVILLE
State: FL
PostalCode: 326100238
CountryCode: US
TelephoneNumber: 3525943589
FaxNumber: 3522652379
Practice Location
Address1: 1600 SW ARCHER RD
Address2: UF HEALTH SHANDS HOSPITAL
City: GAINESVILLE
State: FL
PostalCode: 326103003
CountryCode: US
TelephoneNumber: 3525943589
FaxNumber: 3522650379
Other Information
ProviderEnumerationDate: 07/09/2010
LastUpdateDate: 08/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XME115619FLY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
00895230005FL MEDICAID


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