Organization
ACTIVEMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID RIAZ MD (OWNER)
(407) 341-2986
Entity
Organization
Contact information
Practice address
7300 SANDLAKE COMMONS BLVD STE 106, ORLANDO, FL 32819-8011
(407) 341-2986
(407) 698-5751
Mailing address
7300 SANDLAKE COMMONS BLVD STE 106, ORLANDO, FL 32819-8011
(407) 341-2986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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