Individual
SHEIKH K JASIMUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 W SR 434, LONGWOOD, FL 32750-5119
(321) 842-2994
(407) 767-5801
Mailing address
555 W SR 434, LONGWOOD, FL 32750-5119
(321) 842-2994
(407) 767-5801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME100463
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
237061
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME100463
FL
Other
Enumeration date
09/20/2006
Last updated
11/04/2014
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