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Organization

KISSIMMEE NEPHROLOGY & HYPERTENSION, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RIZWAN ZAMAN (ADMINISTRATOR)
(407) 830-5080
Entity
Organization

Contact information

Practice address
2220 E IRLO BRONSON MEMORIAL HWY, # 5, KISSIMMEE, FL 34744-5312
(407) 847-0019
(407) 518-0119
Mailing address
2220 E IRLO BRONSON MEMORIAL HWY, # 5, KISSIMMEE, FL 34744-5312
(407) 847-0019
(407) 518-0119

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003858275
INDIVIDUAL NPI
FL
01
1386747798
INDIVIDUAL NPI
FL
01
44193Z
MEDICARE INDIVIDUAL PIN
FL
01
AC951Z
MEDICARE INDIVIDUAL PIN
FL
Enumeration date
05/31/2007
Last updated
10/10/2007
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