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NPI Code Detail

MEDICARE: FNU NIDA FAROKH LADIWALA

MEDICARE: FNU NIDA FAROKH LADIWALA
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
1207R00000XInternal Medicine PhysicianME164152FL

General Provider Information

NPI Number : 1043872823
Entity Type Code : Individual
Provider Name (Legal Business Name) : FNU NIDA FAROKH LADIWALA
Provider Business Mailing Address
First Line : 2724 N HIAWASSEE RD STE 100
Second Line :
City : ORLANDO
State : FL
Zip : 32818-3003
Country : US
Telephone Number : 407-906-0082
Fax Number : 407-604-2606
Provider Business Practice Location Address
First Line : 2724 N HIAWASSEE RD STE 100
Second Line :
City : ORLANDO
State : FL
Zip : 32818-3003
Country : US
Telephone Number : 407-906-0082
Fax Number : 407-604-2606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2019
Last Update Date : 08/01/2024

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Directions to “ FNU NIDA FAROKH LADIWALA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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