| Muqeet Siddiqui, Md, Llc | |
|
1588 Citrus Medical Ct Ocoee FL 34761-4547 | |
| (407) 725-9069 | |
| (407) 704-5020 |
| Full Name | Muqeet Siddiqui, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1588 Citrus Medical Ct, Ocoee, Florida |
| Authorized Official Name and Position | Muqeet Siddiqui (PRESIDENT/OWNER) |
| Authorized Official Contact | 4072955625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muqeet Siddiqui, Md, Llc 1588 Citrus Medical Ct Ocoee FL 34761-4547 Ph: (407) 725-9069 | Muqeet Siddiqui, Md, Llc 1588 Citrus Medical Ct Ocoee FL 34761-4547 Ph: (407) 725-9069 |
| NPI Number | 1558616482 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 4587818216 |
|---|---|
| Medicare Enrollment ID | O20130206000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558616482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME53264 (Florida) | Primary |
| Provider Name | Patrick J Fullerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811039555 PECOS PAC ID: 2668371857 Enrollment ID: I20041231000020 |
| Provider Name | Muqeet Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538187117 PECOS PAC ID: 6204080930 Enrollment ID: I20130206000083 |
| Provider Name | Jerri Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962565192 PECOS PAC ID: 8921007121 Enrollment ID: I20130219000331 |
| Provider Name | Salma Rawof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467791798 PECOS PAC ID: 7113172792 Enrollment ID: I20130305000403 |
| Provider Name | Marie H.s. Theodore Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659778538 PECOS PAC ID: 5092032144 Enrollment ID: I20150330000388 |
| Provider Name | Fraaz M Sayeed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629310099 PECOS PAC ID: 4789970542 Enrollment ID: I20160906000927 |
| Provider Name | Marcell Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093349433 PECOS PAC ID: 4789008970 Enrollment ID: I20200721002634 |
| Provider Name | Felicia Kelly Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386276939 PECOS PAC ID: 8729496211 Enrollment ID: I20210422000432 |
| Provider Name | Khamwatie Esther Sahadeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667108 PECOS PAC ID: 4789084393 Enrollment ID: I20210617002143 |
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