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Organization

ORLANDO PHYSICIAN SPECIALISTS LLC

Active
Other names
Qamar S. Khan, MD
Organization subpart
No

Provider details

NPI number
Authorized official
SHYAM B PARYANI MD (DIRECTOR)
(904) 309-8680
Entity
Organization

Contact information

Practice address
7252 NARCOOSSEE RD, SUITE 104, ORLANDO, FL 32822-5550
(407) 482-1234
(407) 478-4921
Mailing address
3599 UNIVERSITY BLVD S, SUITE 907, JACKSONVILLE, FL 32216-4252
(904) 309-8680
(904) 345-5841

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027J
BCBS
FL
05
004206306
FL
Enumeration date
06/04/2013
Last updated
01/31/2014
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