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NPI Code Detail

MEDICARE: PREMCARE FAMILY MEDICAL CENTER

MEDICARE: PREMCARE FAMILY MEDICAL CENTER
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
1174400000XSpecialistME0068874FL

General Provider Information

NPI Number : 1730107780
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMCARE FAMILY MEDICAL CENTER
Provider Business Mailing Address
First Line : 4501 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-2407
Country : US
Telephone Number : 407-380-1428
Fax Number : 407-380-0754
Provider Business Practice Location Address
First Line : 4501 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-2407
Country : US
Telephone Number : 407-380-1428
Fax Number : 407-380-0754
Authorized Official
Title or Position : MEDICINE DOCTOR
Name : DR. MUHAMMAD A AWAN
Credential : M.D.
Telephone Number : 407-380-1428
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/20/2023

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Directions to “PREMCARE FAMILY MEDICAL CENTER ” Practice Location

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