Individual
DR. RIYAZ A JUMMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1320 N MAIN ST, SUITE A, KISSIMMEE, FL 34744-4287
(140) 751-8060
Mailing address
1320 N MAIN ST, KISSIMMEE, FL 34744-4289
(407) 518-0608
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME50752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 50752
200934
FL
Enumeration date
03/15/2007
Last updated
08/29/2007
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