Organization
CENTRAL FLORIDA PEDIATRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIS MAHMOUD AL-MOUSILY MD (ADMINISTRATOR)
(352) 328-6127
Entity
Organization
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(352) 328-6127
Mailing address
12386 STATE ROAD 535 # 422, ORLANDO, FL 32836-6701
(352) 328-6127
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/19/2021
Last updated
07/25/2025
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