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Individual

ZULFIQAR A FAZAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1623 SW 1ST AVE, OCALA, FL 34471
(352) 341-4778
(352) 341-4477
Mailing address
1623 SW 1ST AVE, OCALA, FL 34471
(352) 732-9844
(352) 351-4305

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME78743
FL
208VP0000X
Pain Medicine Physician
Primary
ME78743
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050079981
RAILROAD MEDICARE
FL
05
260318700
FL
01
57999
BLUE CROSS
FL
Enumeration date
02/02/2006
Last updated
03/07/2023
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