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Individual

DR. IMTIAZ AHMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
903 W OAK ST, KISSIMMEE, FL 34741-4941
(407) 846-4000
(407) 846-4808
Mailing address
903 W OAK ST, KISSIMMEE, FL 34741-4941
(407) 846-4000
(407) 846-4808

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0058868
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268025400
FL
Enumeration date
02/08/2006
Last updated
06/09/2016
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