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Organization

EXCEL PEDIATRICS

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
265 CITRUS TOWER BLVD, STE # 102, CLERMONT, FL 34711-1908
(352) 394-3929
(352) 394-6446
Mailing address
265 CITRUS TOWER BLVD, STE # 102, CLERMONT, FL 34711-1908
(352) 394-3929
(352) 394-6446

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME72542
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032385300
FL
Enumeration date
06/04/2008
Last updated
08/06/2009
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