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General NPI Number Information
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NPI Number | 1669123287
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Entity Type | Organization
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Legal Business Name | FAM HOSPITALIST LLC
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 13550 VILLAGE PARK DR STE 220
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City | ORLANDO
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State | FL
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Zip | 32837-7835
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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 | 11310 LEMON LAKE BLVD
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City | ORLANDO
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State | FL
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Zip | 32836-5070
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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 | OWNER
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Name | 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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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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