Organization
PEDIATRIC MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHAZALA AHMED M.D. (PRESIDENT)
(321) 947-5901
Entity
Organization
Contact information
Practice address
836 PAUL STREET, ORLANDO, FL 32808
(407) 342-1896
(407) 369-4279
Mailing address
836 PAUL STREET, ORLANDO, FL 32808
(407) 342-1896
(407) 369-4279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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