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Organization

FAMILY CHOICE HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NASIMUL HAQ SIDDIQUI MD (OWNER)
(407) 846-0044
Entity
Organization

Contact information

Practice address
431 W VINE ST, KISSIMMEE, FL 34741-4189
(407) 846-0044
(407) 518-9146
Mailing address
431 W VINE ST, KISSIMMEE, FL 34741-4189
(407) 846-0044
(407) 518-9146

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME99509
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251637300
FL
Enumeration date
10/22/2009
Last updated
12/05/2012
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