Florida Advanced Medicine Llc | |
13550 Village Park Dr Ste 220 Orlando FL 32837-7835 | |
(407) 738-0803 | |
(833) 398-2081 |
Full Name | Florida Advanced Medicine Llc |
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Speciality | Family Medicine |
Location | 13550 Village Park Dr Ste 220, Orlando, Florida |
Authorized Official Name and Position | Abbas Rizvi (MANAGER/OWNER) |
Authorized Official Contact | 4077380803 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Florida Advanced Medicine Llc 13550 Village Park Dr Ste 220 Orlando FL 32837-7835 Ph: () - | Florida Advanced Medicine Llc 13550 Village Park Dr Ste 220 Orlando FL 32837-7835 Ph: (407) 738-0803 |
NPI Number | 1386268993 |
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Provider Enumeration Date | 05/31/2020 |
Last Update Date | 05/18/2022 |
Medicare PECOS PAC ID | 1052735487 |
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Medicare Enrollment ID | O20200720000216 |
Identifier | Type | State | Issuer |
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1386268993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mohammed A Rizvi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992148050 PECOS PAC ID: 1052555257 Enrollment ID: I20161110001794 |
Provider Name | Abbas A Rizvi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437404274 PECOS PAC ID: 9234351347 Enrollment ID: I20170718002696 |
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