Individual
SARIM IDREES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4729 US HIGHWAY 98 S STE 201, LAKELAND, FL 33812-4336
(863) 646-9663
(863) 646-9664
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19123
PR
208D00000X
General Practice Physician
ACN723
FL
208D00000X
General Practice Physician
Primary
ME172223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E1W
FLORIDA BLUE
FL
Enumeration date
04/24/2015
Last updated
03/25/2025
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