Healthcare Provider Details

I. General information

NPI: 1396810933
Provider Name (Legal Business Name): MUHAMMAD ABRAR SALEEM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 KELTON AVE
OCOEE FL
34761
US

IV. Provider business mailing address

PO BOX 930
WINDERMERE FL
34786-0930
US

V. Phone/Fax

Practice location:
  • Phone: 407-290-5533
  • Fax: 407-290-8333
Mailing address:
  • Phone: 407-290-5533
  • Fax: 407-290-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0070278
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME70278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: