MUMTAZ MEDICAL ASSOCIATES WEST VINE
NPI 1356763395
Non-Pharmacy Dispensing Site in Kissimmee, FL

Active since January 10, 2014
724 W VINE ST, KISSIMMEE, FL 34741(407) 944-4450 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mumtaz Medical Associates West Vine NPPES

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

MUMTAZ MEDICAL ASSOCIATES WEST VINE (NPI 1356763395) is a healthcare organization registered as a non-pharmacy dispensing site in Kissimmee, Florida and active in the NPI registry since January 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1356763395
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSYED TARIQ MUMTAZ MD PA
Location Address724 W VINE STKissimmee, FL 34741-4161
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateJanuary 10, 2014
NPI 1356763395 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 · ME93344
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.)
724 W VINE ST, Kissimmee, FL 34741

Other Names 1

Doing Business AsMumtaz Medical Associates West Vine

Other Providers at the Same Location NPPES 3

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

Specialist
724 W VINE ST
KISSIMMEE, FL 34741
Internal Medicine
724 W VINE ST
KISSIMMEE, FL 34741
Non-Pharmacy Dispensing Site
724 W VINE ST
KISSIMMEE, FL 34741

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 1356763395. It was assigned to this organization in the NPPES registry on January 10, 2014. The provider is doing business as Mumtaz Medical Associates West Vine.

Where is Syed Tariq Mumtaz MD PA located?

Syed Tariq Mumtaz MD PA is located at 724 W Vine St, Kissimmee, FL 34741. The listed phone number is (407) 944-4450.

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 January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.