Organization
AA SENIOR LIVING AND TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKHTAR AKHTARUZZAMAN (PRESIDENT)
(973) 951-8158
Entity
Organization
Contact information
Practice address
37 S MAIN ST, SUITE A, WILLISTON, FL 32696-2681
(352) 505-7440
Mailing address
37 S MAIN ST, SUITE A, WILLISTON, FL 32696-2681
(352) 505-7440
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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