Provider Demographics
NPI:1336150432
Name:AHMAD, SAEED (MD)
Entity Type:Individual
Prefix:DR
First Name:SAEED
Middle Name:
Last Name:AHMAD
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 1:1520 N JOHN YOUNG PKWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-3219
Mailing Address - Country:US
Mailing Address - Phone:407-518-7700
Mailing Address - Fax:407-518-7100
Practice Address - Street 1:1520 N JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-3219
Practice Address - Country:US
Practice Address - Phone:407-518-7700
Practice Address - Fax:407-518-7100
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE37974Medicare ID - Type Unspecified
FLH08718Medicare UPIN