Medical Village Healthcare Group

NPI #1861630626 in Orlando, Florida

Provider Information

NPI Number: 1861630626
Entity Type: Organization
Organization Name: Medical Village Healthcare Group
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICAL VILLAGE HEALTHCARE GROUP
Primary Specialty: Pediatrics
Enumeration Date: Jan 31, 2009
Last Updated: Feb 2, 2009

Practice Location

Address: 1462 W OAK RIDGE RD
City: Orlando
State: Florida
ZIP Code: 32809-3905
Phone: (407) 888-6990

Authorized Official

Name: DR. KHALID MANZUR, MD
Title: PRESIDENT
Phone: (407) 888-6990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X	Primary

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