Provider Demographics
NPI:1386055952
Name:CENTRAL FLORIDA INFECTIOUS DISEASE CONSULTANTS INC
Entity type:Organization
Organization Name:CENTRAL FLORIDA INFECTIOUS DISEASE CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:JAVID
Authorized Official - Last Name:BHUTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-416-2476
Mailing Address - Street 1:10301 EMERALD WOODS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-5936
Mailing Address - Country:US
Mailing Address - Phone:407-567-9557
Mailing Address - Fax:571-323-6777
Practice Address - Street 1:1600 BUDLINGER AVE # A
Practice Address - Street 2:
Practice Address - City:ST CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769
Practice Address - Country:US
Practice Address - Phone:606-416-2476
Practice Address - Fax:571-323-6777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109470207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1871650192OtherNPI
FLI73411Medicare UPIN