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Individual

WASIM AHMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 W STATE ROAD 434, STE 301, LONGWOOD, FL 32750-5187
(407) 767-8200
(407) 339-1200
Mailing address
450 W STATE ROAD 434, STE 301, LONGWOOD, FL 32750-5187
(407) 767-8200
(407) 339-1200

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME78066
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261225900
FL
Enumeration date
05/24/2005
Last updated
10/09/2012
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