Activemd LLC
Family Medicine in Orlando, FL. Organization (NPI-2).
NPI number1366154692
StatusActive
Last updated in NPPESDec 19, 2022
Details
- NPI
- 1366154692
- Entity type
- Organization (NPI-2)
- Legal business name
- Activemd LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2022
- Certification date
- Dec 19, 2022
- Last updated
- Dec 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
7300 Sandlake Commons Blvd Ste 106Orlando, FL 32819-8011
Phone 407-341-2986 · Fax 407-698-5751
Mailing address
7300 Sandlake Commons Blvd Ste 106Orlando, FL 32819-8011
Phone 407-341-2986
Authorized official
Shahid Riaz
Owner
4073412986
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