# BORN AGAIN DOCTOR LLC

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

## Provider details

- **NPI number:** 1821463688
- **Authorized official:** DR. SUALEH ASHRAF MD (OWNER)
- **Authorized official phone:** (407) 645-1847

## Contact information

- **Practice address:** 10671 EMERALD CHASE DR, ORLANDO, FL 32836-5855
- **Practice address phone:** (407) 645-1847
- **Practice address fax:** (407) 978-6507
- **Mailing address:** 10671 EMERALD CHASE DR, ORLANDO, FL 32836-5855
- **Mailing address phone:** (407) 645-1847
- **Mailing address fax:** (407) 978-6507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME83798 | FL | — |
| 207RC0000X | Cardiovascular Disease Physician | ME83798 | FL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME83798 | FL | Yes |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 12/04/2015