Individual
AHMED M AL-MALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 E PRINCETON ST, SUITE 240, ORLANDO, FL 32803-1456
(407) 897-3737
(407) 897-3711
Mailing address
615 E PRINCETON ST, SUITE 240, ORLANDO, FL 32803-1456
(407) 897-3737
(407) 897-3711
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME74032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253286700
—
FL
01
—
42268
BLUE CROSS/SHIELD
FL
Enumeration date
08/10/2006
Last updated
05/27/2009
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