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Individual

DR. AHMAD IDRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
89 W COPELAND DR FL 3, ORLANDO, FL 32806-2002
(321) 842-4750
(321) 843-1753
Mailing address
89 W COPELAND DR FL 3, ORLANDO, FL 32806-2002
(321) 842-4750
(321) 843-1753

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
21617
SC
207RG0100X
Gastroenterology Physician
Primary
ME113694
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013034500
FL
05
216171
SC
Enumeration date
10/04/2006
Last updated
02/24/2023
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