Organization
MID-FLORIDA GROUP OF SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUAD AFZAL MD (AMBR)
(321) 364-0728
Entity
Organization
Contact information
Practice address
1403 MEDICAL PLAZA DR STE 207, SANFORD, FL 32771-1047
(321) 364-0728
(321) 364-0729
Mailing address
1403 MEDICAL PLAZA DR STE 207, SANFORD, FL 32771-1047
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019373400
—
FL
01
—
ME125151
COMMERCIAL
FL
05
—
ME125151
—
FL
01
—
ME128664
COMMERCIAL
FL
05
—
ME128664
—
FL
01
—
ME94056
COMMERCIAL
FL
05
—
ME94056
—
FL
Enumeration date
04/14/2022
Last updated
10/29/2024
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