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General NPI Number Information
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NPI Number | 1902025588
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Entity Type | Organization
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Legal Business Name | MOHAMMAD A. LATIF M.D.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2306 LEE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-1750
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Country | US
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Telephone | 407-628-4916
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Fax | 407-629-5285
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Provider Business Mailing Address
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Address Line | 2306 LEE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-1750
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Country | US
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Telephone | 407-628-4916
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Fax | 407-629-5285
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MOHAMMAD ANWAR LATIF
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Credential | M.D.
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Telephone | 407-628-4916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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