Organization · NPI-2

Asif Kamal MD PA

Internal Medicine · Port Charlotte, FL

NPI number1447678438
StatusActive
Last updated in NPPESAug 6, 2024

Details

NPI
1447678438
Entity type
Organization (NPI-2)
Legal business name
Asif Kamal MD PA
Organization subpart
No
Enumeration date
Apr 7, 2014
Certification date
Aug 6, 2024
Last updated
Aug 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME71572FLYes

Practice location

21202 Olean Blvd Ste C6
Port Charlotte, FL 33952-6771

Phone 941-889-7440 · Fax 941-391-6089

Mailing address

21202 Olean Blvd Ste C6
Port Charlotte, FL 33952-6771

Phone 941-889-7440 · Fax 941-391-6089

Authorized official

Bonnie Russell
Administrator
9418897440

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