Individual
DR. IRFAN F SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 LIONEL WAY, DAVENPORT, FL 33837-7811
(863) 424-3278
(863) 420-9701
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0188
(863) 424-3278
(863) 420-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101015831
MI
207RC0000X
Cardiovascular Disease Physician
7294934-1204
UT
207RC0000X
Cardiovascular Disease Physician
OS 10711
FL
207RI0011X
Interventional Cardiology Physician
Primary
OS10711
FL
Other
Enumeration date
02/26/2007
Last updated
02/13/2018
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