Provider Demographics
NPI:1891316675
Name:AMERICAN MUSLIM SOCIAL SERVICES INC
Entity Type:Organization
Organization Name:AMERICAN MUSLIM SOCIAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:FAREED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-356-3058
Mailing Address - Street 1:588 WILMA ST
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5146
Mailing Address - Country:US
Mailing Address - Phone:321-356-3058
Mailing Address - Fax:
Practice Address - Street 1:588 WILMA ST
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5146
Practice Address - Country:US
Practice Address - Phone:321-356-3058
Practice Address - Fax:407-588-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service