| Activemd Llc | |
|
7300 Sandlake Commons Blvd Ste 106 Orlando FL 32819-8011 | |
| (407) 341-2986 | |
| (407) 698-5751 |
| Full Name | Activemd Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7300 Sandlake Commons Blvd Ste 106, Orlando, Florida |
| Authorized Official Name and Position | Shahid Riaz (OWNER) |
| Authorized Official Contact | 4073412986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Activemd Llc 7300 Sandlake Commons Blvd Ste 106 Orlando FL 32819-8011 Ph: (407) 341-2986 | Activemd Llc 7300 Sandlake Commons Blvd Ste 106 Orlando FL 32819-8011 Ph: (407) 341-2986 |
| NPI Number | 1366154692 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 2365815271 |
|---|---|
| Medicare Enrollment ID | O20230223001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366154692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shahid Riaz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891771119 PECOS PAC ID: 5991761413 Enrollment ID: I20120118000026 |
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