Provider Demographics
NPI:1275859936
Name:M. ANWARUL HOQUE M.D. P.A.
Entity Type:Organization
Organization Name:M. ANWARUL HOQUE M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ANWARUL
Authorized Official - Last Name:HOQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-847-8282
Mailing Address - Street 1:201 HILDA ST STE 15
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2359
Mailing Address - Country:US
Mailing Address - Phone:407-847-8282
Mailing Address - Fax:407-847-3159
Practice Address - Street 1:201 HILDA ST STE 15
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2359
Practice Address - Country:US
Practice Address - Phone:407-847-8282
Practice Address - Fax:407-847-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 26142207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058390100Medicaid
FLD70591Medicare UPIN