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Organization

ORLANDO PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMIER KHAZNADAR MD (PHYSICAN)
(407) 483-7925
Entity
Organization

Contact information

Practice address
800 N ROSE AVE, SUITE 800, KISSIMMEE, FL 34741-4944
(407) 483-7925
(407) 483-7924
Mailing address
PO BOX 770458, ORLANDO, FL 32877-0458
(407) 361-5123

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263337000
FL
Enumeration date
01/07/2013
Last updated
01/07/2013
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