Organization · Type 2 NPI

Syed Tariq Mumtaz MD PA

Non-Pharmacy Dispensing Site · Kissimmee, FL

NPI number 1356763395 Active

Practice location

724 W Vine St
Kissimmee, FL 34741-4161

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XME93344 (FL)

Non-Pharmacy Dispensing Site: 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.)

4 other providers at this address

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About NPI 1356763395

Syed Tariq Mumtaz MD PA's National Provider Identifier is 1356763395, issued on Jan 10, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Kissimmee, FL. The record was last updated on Jan 10, 2014.