Organization
GASTROENTEROLOGY AND NUTRITION SPECIALIST PA
Active
Organization
GASTROENTEROLOGY AND NUTRITION SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ASIF MOHIUDDIN M.D. (PRESIDENT)
(407) 843-0443
Entity
Organization
Contact information
Practice address
2880 S OSCEOLA AVE, ORLANDO, FL 32806-5431
(407) 843-0443
(407) 843-0442
Mailing address
2880 S OSCEOLA AVE, ORLANDO, FL 32806-5431
(407) 843-0443
(407) 843-0442
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME79526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262273400
—
FL
Enumeration date
01/25/2007
Last updated
05/09/2014
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