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Syed Tariq Mumtaz Md Pa
Non-Pharmacy Dispensing Site in Kissimmee, Florida
NPI 1356763395

Syed Tariq Mumtaz Md Pa is a Non-Pharmacy Dispensing Site based in San Diego, FL. Syed Tariq Mumtaz Md Pa practices in Kissimmee, FL. The NPI Number for Syed Tariq Mumtaz Md Pa is 1356763395 and holds a License No. ME93344 (Florida).

The current practice location address for Syed Tariq Mumtaz Md Pa is 724 W Vine St, Kissimmee, FL and can be reached out via phone at 407-944-4450. You can also correspond with Syed Tariq Mumtaz Md Pa through the mailing address at 5626 OBERLIN DR, SAN DIEGO, CA - 92121-1705 (mailing address contact number: ).

Location: 724 W Vine St, Kissimmee, FL, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356763395
Provider Name
Syed Tariq Mumtaz Md Pa
Credential
Provider Entity Type
Organization
Address
724 W Vine St, Kissimmee, FL, 92121-1705
Phone Number
407-944-4450
Fax Number
Provider Enumeration Date
01/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
724 W Vine St
City
Kissimmee
State
Florida
Zip
34741-4161
Phone Number
407-944-4450
Fax Number
person
Provider Business Mailing Address Details
Address
5626 Oberlin Dr
City
San Diego
State
California
Zip
92121-1705
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
ME93344 (Florida)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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