Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME94056 | FL |
NPI | 1033195839 |
---|---|
Provider Name | Dr. Fuad Afzal |
First Address | Lake Mary, FL 32795-2951 |
Second Address | Altamonte Springs, FL 32701-7854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 07/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H39632 | (02) |