| Doctor Name: | DR. SHAHIDA P MOIZUDDIN |
| NPI Number: | 1528215092 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, MPH |
| License Number: | ME49096 |
| Business Practice Address: | 3654 Gatlin Place Cir Orlando, FL - 328127757 |
| Business Phone Number: | 4073826783 |
| Business Fax Number: | |
| Mailing Address: | 1875 Fortune Rd, KISSIMMEE |
| State: | FL |
| Postal Code: | 347444428 |
| Phone Number: | 4073432150 |
| Fax Number: | 4073432000 |
| NPI Enumeration Date: | 08/26/2008 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME49096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |