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NPI Code Detail

MEDICARE: DR. MAFAZ CHOUDHARY DO

MEDICARE:  DR. MAFAZ  CHOUDHARY  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianOS21138FL

General Provider Information

NPI Number : 1073188066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAFAZ CHOUDHARY DO
Provider Business Mailing Address
First Line : 7599 CYPRESS GARDENS BLVD STE P
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-3263
Country : US
Telephone Number : 863-324-4725
Fax Number : 863-324-4783
Provider Business Practice Location Address
First Line : 7599 CYPRESS GARDENS BLVD STE P
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-3263
Country : US
Telephone Number : 863-324-4725
Fax Number : 863-324-4783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2021
Last Update Date : 11/14/2024

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Directions to “ DR. MAFAZ CHOUDHARY DO” Practice Location

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