Healthcare Provider Details

I. General information

NPI: 1952094567
Provider Name (Legal Business Name): ZAHRA AHMAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3371 S ORANGE BLOSSOM TRL
KISSIMMEE FL
34746-6565
US

IV. Provider business mailing address

10268 PARKVIEW RESERVE LN
ORLANDO FL
32836-4034
US

V. Phone/Fax

Practice location:
  • Phone: 407-350-4000
  • Fax:
Mailing address:
  • Phone: 469-970-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: