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NPI Code Detail

MEDICARE: NEPHROLOGY PARTNERS OF CENTRAL FLORIDA LLC

MEDICARE: NEPHROLOGY PARTNERS OF CENTRAL FLORIDA LLC
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
1207RN0300XNephrology Physician

General Provider Information

NPI Number : 1144686585
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEPHROLOGY PARTNERS OF CENTRAL FLORIDA LLC
Provider Business Mailing Address
First Line : PO BOX 691326
Second Line :
City : ORLANDO
State : FL
Zip : 32869-1326
Country : US
Telephone Number : 800-454-9454
Fax Number : 800-454-9655
Provider Business Practice Location Address
First Line : 10960 DYLAN LOREN CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32825-4439
Country : US
Telephone Number : 407-420-7952
Fax Number : 407-420-7953
Authorized Official
Title or Position : PRESIDENT/OWNER/MD
Name : DR. HASAN SHAHAB
Credential : M.D.
Telephone Number : 813-956-9575
Provider Enumeration Date : 01/14/2016
Last Update Date : 01/14/2016

Similar Medicare Providers

1134320500 — HASAN SHAHAB M.D.
Practice Location Address:
10960 DYLAN LOREN CIR
ORLANDO, FL
32825-4439
Practice Phone: 407-420-7952
Practice Fax: 407-420-7953
1396998340 — MS. JANINA M DAVIS ARNP-C
Practice Location Address:
10960 DYLAN LOREN CIR
ORLANDO, FL
32825-4439
Practice Phone: 407-420-7952
Practice Fax: 407-420-7953
1003144197 — HASAN SHAHAB, M.D., P.A
Practice Location Address:
10960 DYLAN LOREN CIR
ORLANDO, FL
32825-4439
Practice Phone: 407-420-7952
Practice Fax: 407-420-7953
1306213616 — WIN WIN MOE MD
Practice Location Address:
10960 DYLAN LOREN CIR
ORLANDO, FL
32825-4439
Practice Phone: 407-420-7952
Practice Fax: 407-420-7953
1194314591 — ALLERGY & FAMILY WELLNESS CLINIC
Practice Location Address:
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ORLANDO, FL
32825-4439
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Practice Fax:
1023952215 — MILKO LOPEZ YODU APRN
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Directions to “NEPHROLOGY PARTNERS OF CENTRAL FLORIDA LLC ” Practice Location

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