# SUMTER PEDIATRICS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174924757
- **Authorized official:** DR. MOHAMMAD AFZAL MD (DOCTOR)
- **Authorized official phone:** (352) 394-3929

## Contact information

- **Practice address:** 617 S US 301 STE B, SUMTERVILLE, FL 33585-5355
- **Practice address phone:** (352) 569-4980
- **Practice address fax:** (352) 569-4981
- **Mailing address:** 617 S US 301 STE B, SUMTERVILLE, FL 33585-5355
- **Mailing address phone:** (352) 569-4980
- **Mailing address fax:** (352) 569-4981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | ME72542 | FL | — |
| 261QR1300X | Rural Health Clinic/Center | ME72542 | FL | Yes |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 01/22/2025