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Organization
FAM HOSPITALIST LLC
Active
Organization
FAM HOSPITALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBAS RIZVI MD (OWNER)
(407) 738-0803
Entity
Organization
Contact information
Practice address
13550 VILLAGE PARK DR STE 220, ORLANDO, FL 32837-7835
(407) 738-0803
Mailing address
11310 LEMON LAKE BLVD, ORLANDO, FL 32836-5070
(407) 738-0803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
N/A
—
Enumeration date
01/14/2022
Last updated
01/14/2022
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