Organization
METROLINA INFECTIOUS DISEASES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED OMER FAROOQ (PRESIDENT/PHYSICIAN)
(980) 328-7590
Entity
Organization
Contact information
Practice address
219 PALERMO PL, VENICE, FL 34285-2821
(941) 244-9524
(941) 244-9526
Mailing address
219 PALERMO PL, VENICE, FL 34285-2821
(941) 244-9524
(941) 244-9526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2005-00638
NC
Other
Enumeration date
02/28/2008
Last updated
06/02/2022
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