SYED TARIQ MUMTAZ MD PA NPI 1356763395

NPI Information

SYED TARIQ MUMTAZ MD PA is a non pharmacy dispensing site in Kissimmee, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SYED TARIQ MUMTAZ MD PA NPI is 1356763395. The provider is registered as an organization entity type.
The provider Is Doing Business As Mumtaz Medical Associates West Vine.

The provider's business location address is:

724 W VINE ST
KISSIMMEE, FL
ZIP 34741-161
Phone: (407) 944-4450

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 1/10/2014 and was last updated on 1/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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