Individual
AHMED OMER FAROOQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 PALERMO PL, VENICE, FL 34285-2821
(941) 244-9524
(941) 244-9526
Mailing address
219 PALERMO PL, VENICE, FL 34285-2821
(941) 244-9524
(941) 244-9526
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2005-00638
NC
207RI0200X
Infectious Disease Physician
Primary
ME 91511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME91511
FL LICENSE
FL
Enumeration date
03/15/2007
Last updated
06/02/2022
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