Provider Demographics
NPI:1003007634
Name:INFECTIOUS DISEASE SPECIALISTS OF CENTRAL FLORIDA , PA
Entity type:Organization
Organization Name:INFECTIOUS DISEASE SPECIALISTS OF CENTRAL FLORIDA , PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-963-3110
Mailing Address - Street 1:PO BOX 451717
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34745-1717
Mailing Address - Country:US
Mailing Address - Phone:407-963-3110
Mailing Address - Fax:
Practice Address - Street 1:201 HILDA ST
Practice Address - Street 2:STE # 22
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2320
Practice Address - Country:US
Practice Address - Phone:407-279-5069
Practice Address - Fax:407-378-3076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty