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Individual

DR. KALEEM AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763
(386) 668-2221
(386) 668-2228
Mailing address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8427
(386) 668-2221
(386) 668-2228

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01041760A
IN
207RG0100X
Gastroenterology Physician
01041760
IN
207RG0100X
Gastroenterology Physician
Primary
ME130871
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100097310
IN
Enumeration date
05/05/2006
Last updated
06/13/2018
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