Provider Demographics
NPI:1386684983
Name:SYED, JUNAID A (MD)
Entity Type:Individual
Prefix:
First Name:JUNAID
Middle Name:A
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 227
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8008
Mailing Address - Country:US
Mailing Address - Phone:407-972-1197
Mailing Address - Fax:407-809-5243
Practice Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 227
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8008
Practice Address - Country:US
Practice Address - Phone:407-972-1197
Practice Address - Fax:407-809-5243
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95960261QP2300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001295200Medicaid
FLAB6324OtherMEDICARE
FLAB6324OtherMEDICARE