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General NPI Number Information
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NPI Number | 1649820267
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Entity Type | Organization
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Legal Business Name | FLORIDA ADVANCED PRIMARY, URGENT & HOLISTIC MEDICINE LLC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 8931 HERITAGE BAY CIR
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City | ORLANDO
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State | FL
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Zip | 32836-5026
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Country | US
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Telephone | 407-738-0803
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 OAK RUN BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34744-3017
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Country | US
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Telephone | 407-738-0803
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABBAS RIZVI
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Credential | MD
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Telephone | 407-738-0803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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