| Osama Ansari Llc | |
|
1551 Boren Dr Ste B Ocoee FL 34761-2966 | |
| (407) 284-7420 | |
| Not Available |
| Full Name | Osama Ansari Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1551 Boren Dr Ste B, Ocoee, Florida |
| Authorized Official Name and Position | Rameez Ahmed (MANAGER) |
| Authorized Official Contact | 4072847420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osama Ansari Llc 1551 Boren Dr Ste B Ocoee FL 34761-2966 Ph: (407) 284-7420 | Osama Ansari Llc 1551 Boren Dr Ste B Ocoee FL 34761-2966 Ph: (407) 284-7420 |
| NPI Number | 1679056311 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 09/10/2018 |
| Medicare PECOS PAC ID | 6507105301 |
|---|---|
| Medicare Enrollment ID | O20190221002157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679056311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Osama M Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508093394 PECOS PAC ID: 3072761865 Enrollment ID: I20120920000307 |
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