Organization
TAVARES PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AFZAL (MD)
(352) 394-3929
Entity
Organization
Contact information
Practice address
2754 DORA AVE, TAVARES, FL 32778-4970
(352) 394-3929
(352) 394-6446
Mailing address
2754 DORA AVE, TAVARES, FL 32778-4970
(352) 508-5176
(352) 508-5179
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
ME72542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004771000
—
FL
Enumeration date
09/07/2011
Last updated
01/22/2025
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