Organization
M.ATIQ HESSAMI,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRATIQULLAH HESSAMI M.D. (PRESIDENT)
(352) 223-5244
Entity
Organization
Contact information
Practice address
33425 E LAKE JOANNA DR, EUSTIS, FL 32736-7249
(352) 223-5244
Mailing address
33425 E LAKE JOANNA DR, EUSTIS, FL 32736-7249
(352) 223-5244
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
P02000071278
FL
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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