Individual
NABIL AHMED SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 W WARREN AVE, LONGWOOD, FL 32750-4038
(407) 262-2220
(407) 834-5011
Mailing address
455 W WARREN AVE, LONGWOOD, FL 32750-4038
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA09383700
NJ
2084P0800X
Psychiatry Physician
279903
NY
2084P0800X
Psychiatry Physician
Primary
ME165024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120248800
—
FL
Enumeration date
05/03/2011
Last updated
01/12/2024
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