Organization
BEGUM INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOHMINA BEGUM MD (OWNER)
(203) 695-3966
Entity
Organization
Contact information
Practice address
1283 SW STATE ROAD 47, SUITE 101, LAKE CITY, FL 32025-0489
(386) 438-5255
(386) 438-5618
Mailing address
1283 SW STATE ROAD 47, SUITE 101, LAKE CITY, FL 32025-0489
(386) 438-5255
(386) 438-5618
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME109244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107531200
—
FL
Enumeration date
05/02/2013
Last updated
02/15/2021
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