Healthcare Provider Details
I. General information
NPI: 1013765486
Provider Name (Legal Business Name): AFID, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2024
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14489 WABASSO LOOP
WINTER GARDEN FL
34787-5799
US
IV. Provider business mailing address
14489 WABASSO LOOP
WINTER GARDEN FL
34787-5799
US
V. Phone/Fax
- Phone: 877-422-7221
- Fax: 305-845-7394
- Phone: 877-422-7221
- Fax: 305-845-7394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALEXANDRA
FRANCO
GARCIA
Title or Position: CEO
Credential: MD
Phone: 661-372-9497