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NPI Code Detail

MEDICARE: DR. NARGIS WAQAR M.D

MEDICARE:  DR. NARGIS  WAQAR  M.D
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
1208000000XPediatrics PhysicianTRN14769FL

General Provider Information

NPI Number : 1689995144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NARGIS WAQAR M.D
Provider Business Mailing Address
First Line : 5333 SW 75TH ST APT 33
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-7449
Country : US
Telephone Number : 571-220-9490
Fax Number : 425-952-0929
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-273-8234
Fax Number : 352-273-8593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2010
Last Update Date : 06/18/2010

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