Organization
SYED TARIQ MUMTAZ, MD, PA
Active
Parent organization
SYED TARIQ MUMTAZ, MD, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYED TARIQ MUMTAZ, MD, PA
Authorized official
DR. SYED T. MUMTAZ MD (OWNER)
(407) 944-4450
Entity
Organization
Contact information
Practice address
724 W VINE ST, KISSIMMEE, FL 34741-4161
(407) 944-4450
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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