Individual
MUBEEN HASAN CHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 N MANGOUSTINE AVE, STE 200, SANFORD, FL 32771-1004
(407) 321-1415
(407) 321-1597
Mailing address
305 N MANGOUSTINE AVE, STE 200, SANFORD, FL 32771-1004
(407) 321-1415
(407) 321-1597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0062681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004826
FLORIDA HEALTHCARE
FL
01
—
060024107
RAILROAD MEDICARE
FL
01
—
18042
BCBS OF FLORIDA
FL
01
—
24527
WELLCARE
FL
05
—
274254300
—
FL
Enumeration date
05/23/2005
Last updated
07/09/2007
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