| Pro Med Physicians | |
|
1588 Citrus Medical Ct Ocoee FL 34761-4547 | |
| (786) 699-1781 | |
| Not Available |
| Full Name | Pro Med Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1588 Citrus Medical Ct, Ocoee, Florida |
| Authorized Official Name and Position | Sarah Fatima Siddiqui (OWNER/PARTNER) |
| Authorized Official Contact | 3214381300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Med Physicians 12503 Bovet Ave Orlando FL 32827-7716 Ph: () - | Pro Med Physicians 1588 Citrus Medical Ct Ocoee FL 34761-4547 Ph: (786) 699-1781 |
| NPI Number | 1124886098 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 8022550136 |
|---|---|
| Medicare Enrollment ID | O20240604003815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124886098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Muqeet Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538187117 PECOS PAC ID: 6204080930 Enrollment ID: I20130206000083 |
| Provider Name | Salma Rawof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467791798 PECOS PAC ID: 7113172792 Enrollment ID: I20130305000403 |
| Provider Name | Sarah Fatima Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225379407 PECOS PAC ID: 4587892336 Enrollment ID: I20161028001778 |
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