Organization
PROFESSIONAL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AFZAL MD (OWNER)
(352) 394-3929
Entity
Organization
Contact information
Practice address
1050 US HIGHWAY 27 STE 5, CLERMONT, FL 34714-7508
(352) 404-8944
Mailing address
1050 US HIGHWAY 27 STE 5, CLERMONT, FL 34714-7508
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004770701
—
FL
Enumeration date
07/23/2021
Last updated
07/23/2021
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