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DR MUHAMAD MAZEN FESTOK
NPI 1235316514
Clinic/Center in Jacksonville, AL

Active since January 29, 2008
1460 2ND AVE SW, B, JACKSONVILLE, AL 36265(256) 435-5325(256) 435-8431 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr Muhamad Mazen Festok NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR MUHAMAD MAZEN FESTOK (NPI 1235316514) is a healthcare organization registered as a clinic/center in Jacksonville, Alabama and active in the NPI registry since January 2008. The organization lists Muhamad M Festok, President, as its authorized official.

NPPES Registry Identity

NPI1235316514
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDR MUHAMAD MAZEN FESTOK
Location Address1460 2ND AVE SW, BJacksonville, AL 36265-3358
Mailing Address1460 2nd Ave Sw, BJacksonville, AL 36265-3358 · (256) 435-5325 · Fax (256) 435-8431
Phone(256) 435-5325
Fax(256) 435-8431
Organization SubpartNo
Authorized OfficialMuhamad M FestokPresident · (256) 435-5325
Enumeration DateJanuary 29, 2008
✔ NPI 1235316514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AL · 261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1460 2ND AVE SW, Jacksonville, AL 36265
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Other Identifiers 2

Medicare PIN85813AL
Medicare UPINF28095AL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSONVILLE SURGICAL & MEDICAL AFFILIATES, LLC
Clinic/Center
1460 2ND AVE SW
JACKSONVILLE, AL 36265
Calhoun County (256) 782-4395
RUSSELL LEON INGRAM M.D.
Family Medicine
1460 2ND AVE SW
JACKSONVILLE, AL 36265
Calhoun County (256) 435-2180
JAMES RICHARD YATES M.D.
Internal Medicine
1460 2ND AVE SW
JACKSONVILLE, AL 36265
Calhoun County (256) 435-2180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Muhamad Mazen Festok's NPI number?

The NPI number for Dr Muhamad Mazen Festok is 1235316514. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Dr Muhamad Mazen Festok located?

Dr Muhamad Mazen Festok is located at 1460 2nd Ave SW B, Jacksonville, AL 36265. The listed phone number is (256) 435-5325.

What is Dr Muhamad Mazen Festok's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Dr Muhamad Mazen Festok was last updated on January 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.