Provider Demographics
NPI:1093339293
Name:AHMED, IMAN (ARNP)
Entity Type:Individual
Prefix:
First Name:IMAN
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421626
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34742-1626
Mailing Address - Country:US
Mailing Address - Phone:407-846-4000
Mailing Address - Fax:407-846-4808
Practice Address - Street 1:903 W OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4941
Practice Address - Country:US
Practice Address - Phone:407-846-4000
Practice Address - Fax:407-846-4808
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006704207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine