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General NPI Number Information
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NPI Number | 1972788537
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Entity Type | Organization
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Legal Business Name | EXCEL PEDIATRICS PA
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 265 CITRUS TOWER BLVD STE 102
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City | CLERMONT
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State | FL
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Zip | 34711-1908
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Country | US
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Telephone | 352-394-3929
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Fax | 352-394-6446
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Provider Business Mailing Address
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Address Line | 265 CITRUS TOWER BLVD STE 102
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City | CLERMONT
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State | FL
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Zip | 34711-1908
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Country | US
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Telephone | 352-394-3929
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Fax | 352-394-6446
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMMAD AFZAL
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Credential | M.D.
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Telephone | 352-394-3929
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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 | ME72542
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME72542
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | ME72542
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License Number State | FL
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