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Individual

MOHAMMAD TARIQ AGHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 N LAKEMONT AVE, WINTER PARK, FL 32792-3273
(407) 646-7000
Mailing address
200 N LAKEMONT AVE, WINTER PARK, FL 32792-3273

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2014013909
MO
390200000X
Student in an Organized Health Care Education/Training Program
0116022337
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/23/2009
Last updated
07/10/2025
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