# AMBAREEN PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ambareen Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457884397
- **Authorized official:** DR. FARRUKH AMBAREEN MD (PRESIDENT)
- **Authorized official phone:** (352) 331-2890

## Contact information

- **Practice address:** 7109 NW 11TH PL, GAINESVILLE, FL 32605-3170
- **Practice address phone:** (352) 331-2890
- **Practice address fax:** (352) 331-2915
- **Mailing address:** 7109 NW 11TH PL, GAINESVILLE, FL 32605-3170
- **Mailing address phone:** (352) 331-2890
- **Mailing address fax:** (352) 331-2915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME 97329 | FL | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017