Organization
CHAMBER OF MEDICINE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIZ IMTIAZ (PROPREITER)
(863) 419-1428
Entity
Organization
Contact information
Practice address
327 W CYPRESS ST, KISSIMMEE, FL 34741
(407) 483-0672
Mailing address
327 W CYPRESS ST, KISSIMMEE, FL 34741-3326
(863) 419-1428
(863) 422-1893
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME-100789
FL
Other
Enumeration date
08/22/2009
Last updated
04/03/2020
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