Organization
HUMERA SIDDIQUI, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMERA SIDDIQUI O.D. (OPTOMETRIST)
(407) 870-2405
Entity
Organization
Contact information
Practice address
904 CYPRESS PKWY, KISSIMMEE, FL 34759-3456
(407) 870-2405
(407) 870-2409
Mailing address
904 CYPRESS PKWY, KISSIMMEE, FL 34759-3456
(407) 870-2405
(407) 870-2409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3767
FL
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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