| Activemd LLC | |
|
7300 Sandlake Commons Blvd Ste 106 Orlando FL 32819-8011 | |
| (407) 341-2986 | |
| (407) 698-5751 |
| Full Name | Activemd LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 7300 Sandlake Commons Blvd Ste 106, Orlando, Florida |
| Authorized Official Name and Position | Shahid Riaz (OWNER) |
| Authorized Official Contact | 4073412986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activemd LLC 7300 Sandlake Commons Blvd Ste 106 Orlando FL 32819-8011 Ph: (407) 341-2986 | Activemd LLC 7300 Sandlake Commons Blvd Ste 106 Orlando FL 32819-8011 Ph: (407) 341-2986 |
| NPI Number | 1366154692 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366154692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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