Organization Active NPI

Mohammad a Latif PA

  • Cardiovascular Disease Physician
  • Winter Park, FL
National Provider Identifier
1881862506
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MOHAMMAD A LATIF PA
Practice address
2306 Lee Rd
Winter Park, FL 32789-1750
Phone
(407) 628-4916
Fax
(407) 629-5285
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammad Anwar Latif, M.D.
Title
Owner
Phone
(407) 628-4916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2306 Lee Rd
Winter Park, FL 32789-1750

Mailing address

2306 Lee Rd
Winter Park, FL 32789-1750
Phone (407) 628-4916

Other identifiers 1

IdentifierTypeStateIssuer
062312100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1881862506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891750",
            "telephone_number": "407-628-4916",
            "fax_number": "407-629-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891750",
            "telephone_number": "407-628-4916",
            "fax_number": "407-629-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A LATIF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ANWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-628-4916",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062312100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.