MEDICARE: DR. FUAD AFZAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	ME94056	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033195839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FUAD AFZAL MD

Provider Business Mailing Address
First Line	:	PO BOX 952951
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32795-2951
Country	:	US
Telephone Number	:	407-265-2540
Fax Number	:	407-265-9167

Provider Business Practice Location Address
First Line	:	631 PALM SPRINGS DR
Second Line	:	SUITE 104
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-7854
Country	:	US
Telephone Number	:	407-265-2540
Fax Number	:	407-265-9167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	10/29/2024

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Directions to “ DR. FUAD AFZAL MD” Practice Location

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