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Individual

SYED AHSAN RIZVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
615 E PRINCETON ST STE 225, ORLANDO, FL 32803-1423
(407) 303-9926
Mailing address
615 E PRINCETON ST STE 225, ORLANDO, FL 32803-1423
(407) 303-9926

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
0000065057
TN
2080P0206X
Pediatric Gastroenterology Physician
Primary
139694
FL
2080P0206X
Pediatric Gastroenterology Physician
97958
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467807354
FL
Enumeration date
04/27/2016
Last updated
11/05/2024
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