MEDICARE: ZAHRA AHMAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	1223G0001X	General Practice Dentistry	30714	FL

General Provider Information

NPI Number	:	1952094567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAHRA AHMAD

Provider Business Mailing Address
First Line	:	10268 PARKVIEW RESERVE LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-4034
Country	:	US
Telephone Number	:	469-970-2207
Fax Number	:

Provider Business Practice Location Address
First Line	:	3371 S ORANGE BLOSSOM TRL
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6565
Country	:	US
Telephone Number	:	407-350-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	06/17/2026

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Directions to “ ZAHRA AHMAD ” Practice Location

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