Individual
DR. KHALID MANZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1462 W OAK RIDGE RD, ORLANDO, FL 32809-3905
(407) 888-6990
(407) 888-3310
Mailing address
1462 W OAK RIDGE RD, ORLANDO, FL 32809-3905
(407) 888-6990
(407) 888-3310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81287
FL
208000000X
Pediatrics Physician
Primary
81287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487621694
GROUP NPI
FL
05
—
265886100
—
FL
01
—
AC081
GROUP PTAN
FL
Enumeration date
02/10/2006
Last updated
07/21/2014
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