=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598019689
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAREMED OF FLORIDA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/29/2012
-----------------------------------------------------
Last Update Date | 10/29/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11268 S APOPKA VINELAND RD
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32836-6152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-465-5560
-----------------------------------------------------
Fax | 407-465-1506
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11268 S APOPKA VINELAND RD
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32836-6152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-465-5560
-----------------------------------------------------
Fax | 407-465-1506
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SEEMI A NAWAZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-433-1358
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------