Organization
AYESHA AHMAR MD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA AHMAR MD (OWNER)
(407) 333-3360
Entity
Organization
Contact information
Practice address
1349 S INTERNATIONAL PKWY STE 1411, LAKE MARY, FL 32746-1698
(407) 333-3360
Mailing address
1349 S INTERNATIONAL PKWY STE 1411, LAKE MARY, FL 32746-1698
(321) 436-7089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262674800
—
FL
Enumeration date
09/26/2018
Last updated
09/26/2018
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