Individual
DR. AMER ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3230 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(407) 785-1967
Mailing address
4243 NW FEDERAL HWY, JENSEN BEACH, FL 34957-3600
(800) 735-1178
(772) 223-6354
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS11586
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
OS11586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347800
—
FL
05
—
103833000
—
FL
01
—
14JK0
BCBS
FL
Enumeration date
06/23/2008
Last updated
10/23/2020
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