| Professional Pediatrics | |
|
1050 Us Highway 27 # 5 Clermont FL 34714-7520 | |
| (352) 394-3929 | |
| (352) 394-6446 |
| Full Name | Professional Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1050 Us Highway 27, Clermont, Florida |
| Authorized Official Name and Position | Mohammad Afzal (MD) |
| Authorized Official Contact | 3523943929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Pediatrics 265 Citrus Tower Blvd #102 Clermont FL 34714-1908 Ph: (352) 394-3929 | Professional Pediatrics 1050 Us Highway 27 # 5 Clermont FL 34714-7520 Ph: (352) 394-3929 |
| NPI Number | 1386934750 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 11/08/2012 |
| Medicare PECOS PAC ID | 4587836895 |
|---|---|
| Medicare Enrollment ID | O20111011000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386934750 | NPI | - | NPPES |
| 004770700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
| Provider Name | Mohammad Afzal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669411161 PECOS PAC ID: 3779536701 Enrollment ID: I20100408000408 |
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