Provider Demographics
NPI:1184991010
Name:RIZWANA HAMID, MD, P.A.
Entity type:Organization
Organization Name:RIZWANA HAMID, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:SADAF
Authorized Official - Middle Name:
Authorized Official - Last Name:FARUQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-229-3505
Mailing Address - Street 1:142 PARLIAMENT LOOP
Mailing Address - Street 2:SUITE 1018
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3562
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:142 PARLIAMENT LOOP
Practice Address - Street 2:SUITE 1018
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3562
Practice Address - Country:US
Practice Address - Phone:407-808-5754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98381207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty