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Organization
LITTLE ANGEL SILVER STAR LLC
Active
Organization
LITTLE ANGEL SILVER STAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKBAR QURESHI MD (MEDICAL DIRECTOR)
(407) 512-5700
Entity
Organization
Contact information
Practice address
4614 S KIRKMAN RD, ORLANDO, FL 32811-2891
(407) 512-5700
Mailing address
4614 S KIRKMAN RD, ORLANDO, FL 32811-2891
(407) 512-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME44739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379151307
—
FL
01
—
P00397528
RR GBA MEDICARE
—
Enumeration date
09/20/2013
Last updated
09/20/2013
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