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 HWY, SUITE 5, KISSIMMEE, FL 34744-5312
(407) 847-0019
(407) 518-0119
Mailing address
2220 E IRLO BRONSON HWY, SUITE 5, KISSIMMEE, FL 34744-5312
(407) 847-0019
(407) 518-0119
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003858275
INDIVIDUAL NPI #
FL
01
—
1386747798
INDIVIDUAL NPI #
FL
01
—
44193Z
INDIVIDUAL MC PROVIDER #
FL
01
—
AC951Z
INDIVIDUAL MC PROVIDER #
FL
Enumeration date
09/21/2007
Last updated
10/09/2007
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