MEDICARE: SAXON INTERNAL MEDICINE P A

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
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164782637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAXON INTERNAL MEDICINE P A

Provider Business Mailing Address
First Line	:	2574 S VOLUSIA AVE
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-9123
Country	:	US
Telephone Number	:	386-775-1086
Fax Number	:	386-775-8990

Provider Business Practice Location Address
First Line	:	2574 S VOLUSIA AVE
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-9123
Country	:	US
Telephone Number	:	386-775-1086
Fax Number	:	386-775-8990

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	UZMA AHMED KHURSHID
Credential	:	MD
Telephone Number	:	407-694-5984

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	05/26/2016

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Directions to “SAXON INTERNAL MEDICINE P A ” Practice Location

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