Healthcare Provider Details

I. General information

NPI: 1194031369
Provider Name (Legal Business Name): HUMERAA QAMAR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1749 SE 28TH LOOP
OCALA FL
34471
US

IV. Provider business mailing address

1749 SE 28TH LOOP
OCALA FL
34471-1079
US

V. Phone/Fax

Practice location:
  • Phone: 352-369-8690
  • Fax: 352-369-8693
Mailing address:
  • Phone: 352-369-8690
  • Fax: 352-369-8693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME73951
License Number StateFL

VIII. Authorized Official

Name: HUMERAA QAMAR
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 352-369-8690