Healthcare Provider Details

I. General information

NPI: 1629550785
Provider Name (Legal Business Name): CFI MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 01/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 OAK COMMONS BLVD
KISSIMMEE FL
34741-4186
US

IV. Provider business mailing address

721 OAK COMMONS BLVD
KISSIMMEE FL
34741-4186
US

V. Phone/Fax

Practice location:
  • Phone: 407-343-5914
  • Fax: 407-343-5963
Mailing address:
  • Phone: 407-343-5914
  • Fax: 407-343-5963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME74021
License Number StateFL

VIII. Authorized Official

Name: MUHAMMAD A KHAN
Title or Position: CEO
Credential: M.D.
Phone: 407-343-5914