Provider Demographics
NPI:1164485629
Name:NAEEM, GULE YASMEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GULE
Middle Name:YASMEEN
Last Name:NAEEM
Suffix:
Gender:F
Credentials:MD
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 863407
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-0001
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:1219 S EAST AVE
Practice Address - Street 2:SUITE NO 102
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2340
Practice Address - Country:US
Practice Address - Phone:941-366-5225
Practice Address - Fax:941-366-5221
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0067106174400000X
FLME67106207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL33181OtherBCBS FLORIDA
FL31717OtherBCBS
FL251129100Medicaid
FL31717AMedicare PIN
FL33181OtherBCBS FLORIDA