Individual
SYED FAHMEED IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6910 OLD WOLF BAY RD, PALATKA, FL 32177-6800
(386) 328-7337
Mailing address
RUPPERT HEALTH CENTER, 3125 TRANSVERS DR, TOLEDO, OH 43614
(419) 383-3771
(419) 383-2937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME162406
FL
390200000X
Student in an Organized Health Care Education/Training Program
57
—
Other
Enumeration date
07/20/2018
Last updated
08/29/2023
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