Provider Demographics
NPI:1942252317
Name:AHMED, NAEEM Z (MD)
Entity Type:Individual
Prefix:
First Name:NAEEM
Middle Name:Z
Last Name:AHMED
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 1:2400 NORTH BLVD W STE 1
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-8980
Mailing Address - Country:US
Mailing Address - Phone:863-421-5864
Mailing Address - Fax:863-419-0025
Practice Address - Street 1:2400 NORTH BLVD W STE 1
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-8980
Practice Address - Country:US
Practice Address - Phone:863-421-5864
Practice Address - Fax:863-419-0025
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103837207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100924200Medicaid