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NPI Code Detail

MEDICARE: ACCESS FAMILY CARE LLC

MEDICARE: ACCESS FAMILY CARE LLC
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
1207Q00000XFamily Medicine PhysicianME114284FL

Other Identifiers

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

General Provider Information

NPI Number : 1255796330
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS FAMILY CARE LLC
Provider Business Mailing Address
First Line : PO BOX 952917
Second Line :
City : LAKE MARY
State : FL
Zip : 32795-2917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 712 W 25TH ST
Second Line :
City : SANFORD
State : FL
Zip : 32771-4232
Country : US
Telephone Number : 407-402-2303
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : TAZEEN TAHIR ZAIDI
Credential : M.D
Telephone Number : 407-402-2303
Provider Enumeration Date : 12/16/2015
Last Update Date : 12/05/2019

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Directions to “ACCESS FAMILY CARE LLC ” Practice Location

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