Organization
ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIAZ KHATTACK (OWNER)
(407) 350-5917
Entity
Organization
Contact information
Practice address
720 W OAK ST, KISSIMMEE, FL 34741-4989
(407) 350-5719
Mailing address
4156 BROOKMYRA DR, ORLANDO, FL 32837-5109
(407) 350-5917
(407) 350-5928
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME88164
FL
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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