Healthcare Provider Details

I. General information

NPI: 1235138850
Provider Name (Legal Business Name): AKBAR ADIL QURESHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 E IRLO BRONSON MEMORIAL HWY STE B
KISSIMMEE FL
34744-5600
US

IV. Provider business mailing address

2200 E IRLO BRONSON MEMORIAL HWY STE 101
KISSIMMEE FL
34744-4410
US

V. Phone/Fax

Practice location:
  • Phone: 407-344-0021
  • Fax: 407-344-0043
Mailing address:
  • Phone: 407-344-0021
  • Fax: 407-344-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME69091
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: