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Organization

SUMTER PEDIATRICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD AFZAL MD (DOCTOR)
(352) 394-3929
Entity
Organization

Contact information

Practice address
617 S US 301 STE B, SUMTERVILLE, FL 33585-5355
(352) 569-4980
(352) 569-4981
Mailing address
617 S US 301 STE B, SUMTERVILLE, FL 33585-5355
(352) 569-4980
(352) 569-4981

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME72542
FL
261QR1300X
Rural Health Clinic/Center
Primary
ME72542
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014683500
FL
Enumeration date
09/15/2014
Last updated
01/22/2025
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