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Organization

SYED MALIK M.D P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANJEEDA SHUJAAT (BILLING MANAGER)
(407) 749-6400
Entity
Organization

Contact information

Practice address
710 GOVERNORS AVE, ORLANDO, FL 32808-7640
(407) 749-6400
(407) 347-7013
Mailing address
710 GOVERNORS AVE, ORLANDO, FL 32808-7640
(407) 749-6400
(407) 347-7013

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0032468
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02008774
MEDICARE RAIL ROAD
FL
05
038138100
FL
01
K1119
MEDICARE PART B
FL
Enumeration date
07/19/2006
Last updated
01/17/2014
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