| Ayesha Ahmar Md And Associates | |
|
1349 S International Pkwy Ste 1411 Lake Mary FL 32746-1698 | |
| (407) 333-3360 | |
| Not Available |
| Full Name | Ayesha Ahmar Md And Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 1349 S International Pkwy Ste 1411, Lake Mary, Florida |
| Authorized Official Name and Position | Ayesha Ahmar (OWNER) |
| Authorized Official Contact | 4073333360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayesha Ahmar Md And Associates 1349 S International Pkwy Ste 1411 Lake Mary FL 32746-1698 Ph: (321) 436-7089 | Ayesha Ahmar Md And Associates 1349 S International Pkwy Ste 1411 Lake Mary FL 32746-1698 Ph: (407) 333-3360 |
| NPI Number | 1881179828 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 09/26/2018 |
| Medicare PECOS PAC ID | 4981949955 |
|---|---|
| Medicare Enrollment ID | O20181219001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881179828 | NPI | - | NPPES |
| 262674800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ayesha Ahmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215955000 PECOS PAC ID: 2961449731 Enrollment ID: I20081208000192 |
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