Organization
FLORIDA HEART LLC
Active
Organization
FLORIDA HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHURRAM SHAHZAD M.D. (D.O./OWNER)
(407) 808-2150
Entity
Organization
Contact information
Practice address
201 N PARK AVE STE 300, APOPKA, FL 32703-4147
(407) 808-2150
Mailing address
12714 JACOB GRACE CT, WINDERMERE, FL 34786-5711
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME105659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME105659
FL DEPARTMENT OF HEALTH BOARD OF MEDICINE
FL
Enumeration date
02/03/2018
Last updated
02/03/2018
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