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NPI Code Detail

MEDICARE: JAVED AFZAL PA, MPH

MEDICARE:   JAVED  AFZAL  PA, MPH
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
1363A00000XPhysician AssistantPA9100157FL

General Provider Information

NPI Number : 1134142268
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVED AFZAL PA, MPH
Provider Business Mailing Address
First Line : 2225 SW 185TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33029
Country : US
Telephone Number : 954-937-7086
Fax Number : 954-937-7086
Provider Business Practice Location Address
First Line : 3107 WEST HALLANDALE BEACH BLVD.
Second Line : SUITE 102
City : PEMBROKE PARK
State : FL
Zip : 33009
Country : US
Telephone Number : 954-937-7086
Fax Number : 954-367-3763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ JAVED AFZAL PA, MPH” Practice Location

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