Healthcare Provider Details

I. General information

NPI: 1568660561
Provider Name (Legal Business Name): VASEEM SYED AKHTAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 HWY 441N SUITE #J
OKEECHOBEE FL
34972-1900
US

IV. Provider business mailing address

1900 NEBRASKA AVE SUITE #2
FT. PIERCE FL
34950-4837
US

V. Phone/Fax

Practice location:
  • Phone: 863-467-9000
  • Fax: 863-467-9229
Mailing address:
  • Phone: 772-489-4000
  • Fax: 772-489-4066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberME66653
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME66653
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: