MEDICARE: KHALIL M AFSH M.D.

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	207R00000X	Internal Medicine Physician	ME0068678	FL
2	207R00000X	Internal Medicine Physician	T1890	TX
3	2086S0129X	Vascular Surgery Physician	ME68678	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	:	1255326328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALIL M AFSH M.D.

Provider Business Mailing Address
First Line	:	900 VILLAGE SQUARE XING STE 290
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4552
Country	:	US
Telephone Number	:	239-313-2517
Fax Number	:	239-313-2555

Provider Business Practice Location Address
First Line	:	301 NE 19TH DR
Second Line	:
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972-1911
Country	:	US
Telephone Number	:	863-467-6767
Fax Number	:	863-467-1919

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	05/01/2025

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Directions to “ KHALIL M AFSH M.D.” Practice Location

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