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Organization

FLORIDA INFECTIOUS DISEASE CONSULTANTS P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHOAIB ANWER SIDDIQUI M.D (PRESIDENT)
(321) 229-3505
Entity
Organization

Contact information

Practice address
201 HILDA ST, SUITE # 23, KISSIMMEE, FL 34741-2320
(407) 944-4900
(407) 483-0688
Mailing address
10407 EMERALD WOODS AVE, ORLANDO, FL 32836-5971
(321) 229-3505
(407) 386-9836

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME 75997
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001634100
FL
05
258319400
FL
01
440002971
TRICARE
FL
01
48924
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/29/2006
Last updated
09/09/2014
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