Healthcare Provider Details

I. General information

NPI: 1255853230
Provider Name (Legal Business Name): KAREEM E. HAMDY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 CRANES ROOST BLVD STE 111
ALTAMONTE SPRINGS FL
32701-3437
US

IV. Provider business mailing address

14203 VISTA DEL LAGO BLVD
CLERMONT FL
34711-8053
US

V. Phone/Fax

Practice location:
  • Phone: 310-746-5585
  • Fax: 844-878-0535
Mailing address:
  • Phone: 310-746-5585
  • Fax: 844-878-0535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberEMT563563
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: