Individual
AZIZ IMTIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1412 W VINE ST, KISSIMMEE, FL 34741-4051
(407) 483-0672
(407) 348-5882
Mailing address
10503 BOCA POINTE DR, ORLANDO, FL 32836-5800
(407) 944-4450
(407) 944-1858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME94323
FL
208000000X
Pediatrics Physician
Primary
ME94323
FL
Other
Enumeration date
07/16/2006
Last updated
02/24/2015
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