Individual
AHMAD AMAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5745 CANTON CV STE 121, WINTER SPRINGS, FL 32708-5012
(407) 647-2550
(407) 647-0616
Mailing address
PO BOX 180898, CASSELBERRY, FL 32718-0898
(407) 331-4115
(407) 331-4215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME92346
FL
208M00000X
Hospitalist Physician
ME92346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01591
BLUE CROSS
FL
05
—
2721473 00
—
FL
Enumeration date
06/21/2006
Last updated
08/27/2020
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