# AMBREEN SYED ALAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477502557
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS8043 | FL | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 02/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 261752800 | — | FL |
| 01 | — | P00781676 | RR MEDICARE | FL |