Organization
EXCEL PEDIATRICS
Active
Parent organization
EXCEL PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCEL PEDIATRICS
Authorized official
DR. MOHAMMAD AFZAL MD (PRESIDENT)
(352) 394-3929
Entity
Organization
Contact information
Practice address
2523 DORA AVE, TAVARES, FL 32778-4977
(352) 394-3929
Mailing address
2523 DORA AVE, TAVARES, FL 32778-4977
(352) 394-3929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME72542
FL
261QR1300X
Rural Health Clinic/Center
Primary
ME72542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004771000
—
FL
05
—
260332200
—
FL
01
—
K2959
MEDICARE
FL
Enumeration date
02/23/2010
Last updated
11/02/2015
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