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Individual

JAFAR MAHMOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
807 S ORLANDO AVE, SUITE C, WINTER PARK, FL 32789-4870
(407) 894-4693
(407) 261-3869
Mailing address
7319 STONEROCK CIR, SUITE 100, ORLANDO, FL 32819-8002
(407) 352-5323
(407) 352-6233

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME79931
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134629173
GROUP NPI
FL
05
259893100
FL
Enumeration date
04/26/2006
Last updated
12/12/2014
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