Healthcare Provider Details

I. General information

NPI: 1922479625
Provider Name (Legal Business Name): BEE WELL KIDZ INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13802 LANDSTAR BLVD STE 109
ORLANDO FL
32824-5500
US

IV. Provider business mailing address

13802 LANDSTAR BLVD STE 109
ORLANDO FL
32824-5500
US

V. Phone/Fax

Practice location:
  • Phone: 407-569-3292
  • Fax: 407-569-3293
Mailing address:
  • Phone: 407-569-3292
  • Fax: 407-569-3293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME69091
License Number StateFL

VIII. Authorized Official

Name: DR. AKBAR A QURESHI
Title or Position: OWNER
Credential: MD
Phone: 407-569-3293