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Organization
MEDIQUAL LLC
Active
Organization
MEDIQUAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALMA M MUDDASSIR MD (OWNER)
(267) 393-5265
Entity
Organization
Contact information
Practice address
5485 FIRETHORN PT, SPRING HILL, FL 34609-9512
(267) 393-5265
(888) 811-9815
Mailing address
5485 FIRETHORN PT, SPRING HILL, FL 34609-9512
(267) 393-5265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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