Individual
AFFAN MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8132 LEE VISTA BLVD STE 102, ORLANDO, FL 32829-8367
(407) 807-6522
(407) 988-1922
Mailing address
12830 WOODBURY GLEN DR, ORLANDO, FL 32828-5925
(407) 923-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113282
FL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
4137
CT
Other
Enumeration date
05/23/2018
Last updated
09/21/2020
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