Organization
MOHAMMAD A LATIF PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ANWAR LATIF M.D. (OWNER)
(407) 628-4916
Entity
Organization
Contact information
Practice address
2306 LEE RD, WINTER PARK, FL 32789-1750
(407) 628-4916
(407) 629-5285
Mailing address
2306 LEE RD, WINTER PARK, FL 32789-1750
(407) 628-4916
(407) 629-5285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062312100
—
FL
Enumeration date
02/15/2008
Last updated
12/03/2008
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