Individual
AQSA ULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 E ROLLINS ST STE 6, ORLANDO, FL 32804-5519
(407) 303-6729
(407) 628-2037
Mailing address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
OS18882
FL
2084N0400X
Neurology Physician
Primary
UO5571
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2017
Last updated
01/04/2023
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