Provider Demographics
NPI:1275705717
Name:IFTIKHAR, QURATULANN (MD)
Entity Type:Individual
Prefix:DR
First Name:QURATULANN
Middle Name:
Last Name:IFTIKHAR
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 1:320 WEST SABAL PALM PLACE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779
Mailing Address - Country:US
Mailing Address - Phone:407-260-1137
Mailing Address - Fax:407-332-7893
Practice Address - Street 1:320 WEST SABAL PALM PLACE
Practice Address - Street 2:SUTE 200
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779
Practice Address - Country:US
Practice Address - Phone:407-788-6399
Practice Address - Fax:407-788-0404
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108216207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine