Healthcare Provider Details

I. General information

NPI: 1073076436
Provider Name (Legal Business Name): AHMED ABDULRAHEEM SARHEED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 W 49TH PL
HIALEAH FL
33012-3113
US

IV. Provider business mailing address

1600 SW ARCHER RD RM 4101
GAINESVILLE FL
32610-3003
US

V. Phone/Fax

Practice location:
  • Phone: 305-558-2250
  • Fax:
Mailing address:
  • Phone: 352-265-0239
  • Fax: 352-265-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME155061
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME155061
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: