Organization
BOKHARI MEDICAL CONSORTIUM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN AYAZ BOKHARI (OWNER)
(727) 238-3241
Entity
Organization
Contact information
Practice address
716 SEMINOLE BLVD, LARGO, FL 33770-3627
(727) 238-3241
Mailing address
716 SEMINOLE BLVD, LARGO, FL 33770-3627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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