Provider Demographics
NPI:1982870507
Name:VITAL SIGNS PHYSICIANS FL PL
Entity Type:Organization
Organization Name:VITAL SIGNS PHYSICIANS FL PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:AMIR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:407-944-4458
Mailing Address - Street 1:PO BOX 700418
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34770-0418
Mailing Address - Country:US
Mailing Address - Phone:407-944-4458
Mailing Address - Fax:407-944-4459
Practice Address - Street 1:1504 VILLAGE OAK LANE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746
Practice Address - Country:US
Practice Address - Phone:407-944-4458
Practice Address - Fax:407-944-4459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-04
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0084940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH65182Medicare UPIN