Organization
ABDUL LATEEF BHATTI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL L BHATTI M.D., F.A.C.C. (OWNER/PRESIDENT)
(386) 328-5811
Entity
Organization
Contact information
Practice address
524 ZEAGLER DR, PALATKA, FL 32177-3813
(386) 328-5811
(386) 328-9813
Mailing address
524 ZEAGLER DR, PALATKA, FL 32177-3813
(386) 328-5811
(386) 328-9813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056789200
—
FL
01
—
54039
BLUE CROSS/BLUE SHIELD
—
Enumeration date
01/28/2010
Last updated
06/03/2014
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