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Individual

AYESHA R AHMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1349 S INTERNATIONAL PKWY, SUITE 1411, LAKE MARY, FL 32746
(407) 333-3360
(407) 333-2920
Mailing address
PO BOX 848370, BOSTON, MA 02284-8370
(407) 333-3360
(407) 333-2920

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79324
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262674800
FL
01
593745750
TAX ID
Enumeration date
07/18/2006
Last updated
07/19/2010
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