SYED TARIQ MUMTAZ, MD, PA

KISSIMMEE, FL
NPI1558618835
Entity TypeOrganization
Authorized ContactSYED T. MUMTAZ
Owner
407-944-4450
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2012-08-06
Last Update Date2012-08-06
Business Address
SYED TARIQ MUMTAZ, MD, PA
724 W VINE ST
KISSIMMEE, FL 34741-4161
Phone number: 407-944-4450
Mailing Address
SYED TARIQ MUMTAZ, MD, PA
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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