MUMTAZ MEDICAL ASSOCIATES- POINCIANA
NPI 1235569963
Non-Pharmacy Dispensing Site in Kissimmee, FL

Active since November 15, 2013
1000 CYPRESS PKWY, KISSIMMEE, FL 34759(407) 201-3944 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mumtaz Medical Associates- Poinciana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUMTAZ MEDICAL ASSOCIATES- POINCIANA (NPI 1235569963) is a healthcare organization registered as a non-pharmacy dispensing site in Kissimmee, Florida and active in the NPI registry since November 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1235569963
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSYED TARIQ MUMTAZ MD PA
Location Address1000 CYPRESS PKWYKissimmee, FL 34759-3328
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateNovember 15, 2013
NPI 1235569963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in FL · ME70936
Definition
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.)
1000 CYPRESS PKWY, Kissimmee, FL 34759

Other Names 1

Doing Business AsMumtaz Medical Associates- Poinciana

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1000 CYPRESS PKWY
KISSIMMEE, FL 34759

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Syed Tariq Mumtaz MD PA's NPI number?

The NPI number for Syed Tariq Mumtaz MD PA is 1235569963. It was assigned to this organization in the NPPES registry on November 15, 2013. The provider is doing business as Mumtaz Medical Associates- Poinciana.

Where is Syed Tariq Mumtaz MD PA located?

Syed Tariq Mumtaz MD PA is located at 1000 Cypress Pkwy, Kissimmee, FL 34759. The listed phone number is (407) 201-3944.

What is Syed Tariq Mumtaz MD PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Syed Tariq Mumtaz MD PA was last updated on November 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.