Provider Demographics
NPI:1053805549
Name:INFECTIOUS DISEASE ASSOCIATES OF CENTRAL FL. PA
Entity type:Organization
Organization Name:INFECTIOUS DISEASE ASSOCIATES OF CENTRAL FL. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:AWAIS
Authorized Official - Last Name:CHUGHTAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-281-3485
Mailing Address - Street 1:5224 W STATE ROAD 46 # 338
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9230
Mailing Address - Country:US
Mailing Address - Phone:240-281-3485
Mailing Address - Fax:
Practice Address - Street 1:142 PARLIAMENT LOOP STE 1018
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3562
Practice Address - Country:US
Practice Address - Phone:240-281-3485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-127590207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty