=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659980381
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DINOR PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2020
-----------------------------------------------------
Last Update Date | 02/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2770 CAPITAL MEDICAL BLVD
-----------------------------------------------------
City | TALLAHASSEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32308-8417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-878-8235
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 440 N MONROE ST UNIT 139
-----------------------------------------------------
City | TALLAHASSEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32301-1343
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-878-8235
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | SAQUIB ANJUM
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 850-878-8235
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207QG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------