Individual
DR. GHULAM MUSTAFA ANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
18550 US HIGHWAY 441, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151
Mailing address
18550 US HIGHWAY 441, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME109130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003513400
—
FL
01
—
14CH8
BCBS
FL
Enumeration date
01/19/2011
Last updated
01/10/2018
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